Individual provider · Type 1 NPI

Laura Fontaine, MS, EDS, LISAC, LPC

Professional Counselor · Mesa, AZ

NPI number 1457726036 Active

Practice location

2345 S Alma School Rd Ste 105
Mesa, AZ 85210-4013

Call (480) 206-4753 Map

Mailing address

18445 E Pine Valley Dr
Queen Creek, AZ 85142-3622

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-15936 (AZ)
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC-10622 (AZ)

Professional Counselor: Definition to come...

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About NPI 1457726036

Laura Fontaine, MS, EDS, LISAC, LPC's National Provider Identifier is 1457726036, issued on Dec 7, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mesa, AZ. The record was last updated on Jun 18, 2019.