Individual
MS. INGRID MICHELLE FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 WALTON BLVD, SUITE #3, WEST PALM BEACH, FL 33405-2380
(561) 574-6521
Mailing address
255 WALTON BLVD, SUITE #3, WEST PALM BEACH, FL 33405-2380
(561) 574-6521
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
132700000X
Dietary Manager
—
—
173C00000X
Reflexologist
—
—
1744G0900X
Graphics Designer
—
—
222Q00000X
Developmental Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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