Individual provider · Type 1 NPI
Jessica Lyn Fontaine, LPC-A
Counselor · Waterbury, CT
NPI number
1780492918
Active
Practice location
26 Midfield Dr Apt 14
Waterbury, CT 06705-5939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 7656 (CT) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1780492918
Jessica Lyn Fontaine, LPC-A's National Provider Identifier is 1780492918, issued on Dec 19, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waterbury, CT. The record was last updated on Dec 19, 2024.