MS. JOAN LEE FONTAINE NPI 1891850053

NPI Information

NPI: 1891850053
Provider Name: MS. JOAN LEE FONTAINE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3500 BALTIMORE AVE
PUEBLO, CO
ZIP 81008
Phone: (719) 545-1181
Get Directions

MS. Joan Lee Fontaine is a mental health counselor in Pueblo, CO. MS. Joan Lee Fontaine NPI is 1891850053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3500 BALTIMORE AVE
PUEBLO, CO
ZIP 81008-543
Phone: (719) 545-1181

The enumeration date for this NPI number is 12/27/2006 and was last updated on 12/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	4236	COLORADO	No
2	101YM0800X	Counselor	Mental Health	1418	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1418	OTHER	COLORADO	LPC
2	4236	OTHER	COLORADO	CAC III

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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