Individual provider · Type 1 NPI

Marie Therese Fonseca, CADACI

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1124636246 Active

Practice location

3525 Presley Ave
Riverside, CA 92507-4453

Call (951) 486-2651 Map

Mailing address

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI28740120 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124636246

Marie Therese Fonseca, CADACI's National Provider Identifier is 1124636246, issued on Jul 15, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on May 14, 2024.