Individual provider · Type 1 NPI

Carlos Fonseca Jr.

Mental Health Counselor · Klamath Falls, OR

NPI number 1114806353 Active

Practice location

901 Main St
Klamath Falls, OR 97601-5810

Call (541) 238-2289 Map

Mailing address

341 NE Pomona St Apt 106
Roseburg, OR 97470-8053

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114806353

Carlos Fonseca Jr.'s National Provider Identifier is 1114806353, issued on Sep 1, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Klamath Falls, OR. The record was last updated on Sep 1, 2025.