Individual provider · Type 1 NPI

Karen Ann Fontaine

Student in an Organized Health Care Education/Training Program · Manchester, CT

NPI number 1710441209 Active

Practice location

87 Phelps Rd
Manchester, CT 06042-3209

Call (860) 614-2388 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Mental Health Counselor 101YM0800XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710441209

Karen Ann Fontaine's National Provider Identifier is 1710441209, issued on Jan 29, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manchester, CT. The record was last updated on Jan 29, 2019.