Fontaine, Laura

Fontaine, Laura is an sole proprietor health care provider with primary practice located at 2345 S Alma School Rd Ste 105 , Mesa AZ 85210-4013. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fontaine, Laura can be contacted via phone (480) 206-4753.

Contact Information

Primary practice address
2345 S Alma School Rd Ste 105 Mesa AZ 85210-4013
Phone: (480) 206-4753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-15936 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10622 Arizona

Profile Details

NPI number 1457726036
LBN Legal business name Fontaine, Laura
Credentials MS, EDS, LISAC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2015
Last updated Jun 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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