Individual
ROBERT MATTHEW FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
1827 NE 58TH ST # B, SEATTLE, WA 98105-2440
(206) 651-5058
Mailing address
1827 NE 58TH ST APT B, SEATTLE, WA 98105-2440
(509) 731-6012
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MG60653229
WA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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