JONATHAN FONSECA

NPI: 1417382185 · Individual · Active

Primary Specialty

Clinical Social Worker
Social Worker — Clinical

Practice Location

1656 OCOTILLO DR
EL CENTRO, CA 92243-4151 Map ↗
Phone: 760-544-2082

Mailing Address

PO BOX 1272
EL CENTRO, CA 92244-1272 Map ↗
Phone: 760-235-9376

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Clinical Social Worker Primary — Clinical (license: 115200, CA)
  • Social Worker
  • Rehabilitation Counselor
  • Student in an Organized Health Care Education/Training Program

NPI Registration

Enumerated: 2013-09-12

Last CMS Update: 2023-07-28