Individual provider · Type 1 NPI

Eduardo Fonseca

Mental Health Counselor · San Jose, CA

NPI number 1548439698 Active

Practice location

160 E Virginia St, Suite 280
San Jose, CA 95112-5857

Fax (408) 998-1535

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548439698

Eduardo Fonseca's National Provider Identifier is 1548439698, issued on Feb 22, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Feb 22, 2008.