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Ms. Joan Lee Fontaine
Mental Health Counselor in Pueblo, Colorado
NPI 1891850053

Joan Lee Fontaine is a Mental Health Counselor based in Rye, CO and is specialized in Mental Health. Joan Lee Fontaine practices in Pueblo, CO. The NPI Number for Joan Lee Fontaine is 1891850053 and holds a License No. 4236 (Colorado).

The current practice location address for Joan Lee Fontaine is 3500 Baltimore Ave, Pueblo, CO and can be reached out via phone at 719-545-1181.

Location: 3500 Baltimore Ave, Pueblo, CO, 81069-8811
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Provider Profile Details
NPI Number
1891850053
Provider Name
Joan Lee Fontaine
Credential
Provider Entity Type
Individual
Gender
Female
Address
3500 Baltimore Ave, Pueblo, CO, 81069-8811
Phone Number
719-545-1181
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4236 01 CO CAC III
1418 01 CO LPC
institution
Provider Business Practice Location Address Details
Address
3500 Baltimore Ave
City
State
Zip
81008-1543
Phone Number
719-545-1181
Fax Number
person
Provider Business Mailing Address Details
Address
3500 Baltimore Ave
City
State
Zip
81008-1543
Phone Number
719-545-1181
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1418 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4236 (Colorado)
Definition
Definition to come...
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