person
Destiny Jade Fonseca
Mental Health Counselor in Spokane, Washington
NPI 1487360822

Destiny Jade Fonseca is a Mental Health Counselor based in Spokane, WA and is specialized in Mental Health. Destiny Jade Fonseca practices in Spokane, WA. The NPI Number for Destiny Jade Fonseca is 1487360822 and holds a License No. (Washington).

The current practice location address for Destiny Jade Fonseca is 210 W Sprague Ave, Spokane, WA and can be reached out via phone at 509-747-8224.

Location: 210 W Sprague Ave, Spokane, WA, 99201-3627
person
Provider Profile Details
NPI Number
1487360822
Provider Name
Destiny Jade Fonseca
Credential
Provider Entity Type
Individual
Gender
Female
Address
210 W Sprague Ave, Spokane, WA, 99201-3627
Phone Number
509-747-8224
Fax Number
Provider Enumeration Date
01/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 W Sprague Ave
City
State
Zip
99201-3627
Phone Number
509-747-8224
Fax Number
person
Provider Business Mailing Address Details
Address
210 W Sprague Ave
City
State
Zip
99201-3627
Phone Number
509-747-8224
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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