Individual provider · Type 1 NPI

Destiny Jade Fonseca

Mental Health Counselor · Spokane, WA

NPI number 1487360822 Active

Practice location

210 W Sprague Ave
Spokane, WA 99201-3627

Other practice locations

  • 8444 Rainier Ave S, Seattle, WA 98118-4655 · (253) 833-7444

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHC.LH.70158668 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1487360822

Destiny Jade Fonseca's National Provider Identifier is 1487360822, issued on Jan 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spokane, WA. The record was last updated on Oct 16, 2026.