Individual
ESMERALDA AZUCENA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1283 DEER VALLEY DR, PARK CITY, UT 84060-5182
(435) 649-2260
Mailing address
1160 E OLD MILL DR, HEBER CITY, UT 84032-3881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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