Individual provider · Type 1 NPI

Esmeralda Azucena Fonseca

Mental Health Counselor · Park City, UT

NPI number 1407737661 Active

Practice location

1283 Deer Valley Dr
Park City, UT 84060-5182

Call (435) 649-2260 Map

Mailing address

1160 E Old Mill Dr
Heber City, UT 84032-3881

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407737661

Esmeralda Azucena Fonseca's National Provider Identifier is 1407737661, issued on Sep 11, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Park City, UT. The record was last updated on Sep 11, 2025.