Individual provider · Type 1 NPI

Joan Lee Fontaine

Mental Health Counselor · Pueblo, CO

NPI number 1891850053 Active

Practice location

3500 Baltimore Ave
Pueblo, CO 81008-1543

Mailing address

8166 Maple Dr
Rye, CO 81069-8811

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X4236 (CO)
Mental Health Counselor Primary 101YM0800X1418 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1891850053

Joan Lee Fontaine's National Provider Identifier is 1891850053, issued on Dec 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pueblo, CO. The record was last updated on Dec 3, 2010.