Individual provider · Type 1 NPI

Jerry Fonseca

Mental Health Counselor · Anchorage, AK

NPI number 1568078830 Active

Practice location

1709 Bragaw St
Anchorage, AK 99508-3436

Call (907) 562-5340 Map

Mailing address

4939 Folker St Unit A
Anchorage, AK 99507-1456

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1568078830

Jerry Fonseca's National Provider Identifier is 1568078830, issued on Sep 21, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anchorage, AK. The record was last updated on Sep 21, 2020.