Fonseca, Edwin
Fonseca, Edwin is an individual health care provider with primary practice located at 1102 S Raymond Rd , Spokane Valley WA 99206-3534. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Fonseca, Edwin can be contacted via phone (509) 892-4342.Contact Information
Primary practice address
1102 S Raymond Rd
Spokane Valley WA 99206-3534
Phone: (509) 892-4342
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1215641527 |
|---|---|
| LBN Legal business name | Fonseca, Edwin |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2023 |
| Last updated | Jan 11th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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