Individual provider · Type 1 NPI

Mireille Indem Fonsa, M.S

Mental Health Counselor · Oklahoma City, OK

NPI number 1154800878 Active

Practice location

9210 S Western Ave Ste A-21
Oklahoma City, OK 73139-4982

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154800878

Mireille Indem Fonsa, M.S's National Provider Identifier is 1154800878, issued on Aug 13, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 8, 2021.