Individual provider · Type 1 NPI
Brian H. Fontaine, CADAC II
Addiction (Substance Use Disorder) Counselor · La Porte, IN
NPI number
1871201152
Active
Practice location
2125 E 450 S
La Porte, IN 46350-7649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | C2-5180 (IN) |
| Behavior Technician | 106S00000X | C2-5180 (IN) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | C2-5180 (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1871201152
Brian H. Fontaine, CADAC II's National Provider Identifier is 1871201152, issued on Nov 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Porte, IN. The record was last updated on Nov 7, 2022.