Individual
ANDRE FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
389 MAIN ST, MALDEN, MA 02148-5054
(301) 312-9203
Mailing address
2 SPRUCE RUN, BEVERLY, MA 01915-3856
(301) 312-9203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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