Individual provider · Type 1 NPI

Michele Fontaine, LADC

Addiction (Substance Use Disorder) Counselor · Enfield, CT

NPI number 1720282833 Active

Practice location

153 Hazard Ave
Enfield, CT 06082-4592

Call (860) 253-5020 Map

Fax (860) 253-5030

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000807 (CT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1720282833

Michele Fontaine, LADC's National Provider Identifier is 1720282833, issued on Jun 13, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Enfield, CT. The record was last updated on Mar 16, 2012.