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Kristina L Fontaine, CADC-I,QMHA-I
Addiction (Substance Use Disorder) Counselor in Beaverton, Oregon
NPI 1861087439

Kristina L Fontaine is an Addiction (Substance Use Disorder) Counselor based in Gales Creek, OR and is specialized in Addiction (Substance Use Disorder). Kristina L Fontaine practices in Beaverton, OR and has the professional credentials of CADC-I,QMHA-I. The NPI Number for Kristina L Fontaine is 1861087439 and holds a License No. 20-QMHA-R-0497 (Oregon).

The current practice location address for Kristina L Fontaine is 12655 Sw Center St Ste 100, Beaverton, OR and can be reached out via phone at 503-447-6141.

Location: 12655 Sw Center St Ste 100, Beaverton, OR, 97117-9355
person
Provider Profile Details
NPI Number
1861087439
Provider Name
Kristina L Fontaine
Credential
CADC-I,QMHA-I
Provider Entity Type
Individual
Gender
Female
Address
12655 Sw Center St Ste 100, Beaverton, OR, 97117-9355
Phone Number
503-447-6141
Fax Number
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12655 Sw Center St Ste 100
City
State
Zip
97005-1600
Phone Number
503-447-6141
Fax Number
person
Provider Business Mailing Address Details
Address
12655 Sw Center St Ste 100
City
State
Zip
97005-1600
Phone Number
503-447-6141
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-20-206 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
20-QMHA-R-0497 (Oregon)
Definition
Definition to come...
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