Individual provider · Type 1 NPI

Jorge Fonseca

Mental Health Counselor · Homestead, FL

NPI number 1417267485 Active

Practice location

654 NE 9th Pl
Homestead, FL 33030-4934

Fax (305) 248-3499

Mailing address

15310 SW 52nd Ln
Miami, FL 33185-4276

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH6607 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1417267485

Jorge Fonseca's National Provider Identifier is 1417267485, issued on Oct 8, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Homestead, FL. The record was last updated on Oct 8, 2010.