Fontaine, Nicena

Fontaine, Nicena is an sole proprietor health care provider with primary practice located at 2314 E 13Th St , Loveland CO 80537-5121. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fontaine, Nicena can be contacted via phone (970) 646-1404.

Contact Information

Primary practice address
2314 E 13Th St Loveland CO 80537-5121
Phone: (970) 646-1404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC.0011610 Colorado
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC.0011610 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0011610 Colorado

Profile Details

NPI number 1699367789
LBN Legal business name Fontaine, Nicena
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2021
Last updated Apr 30th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699367789 NPPES
Colorado MEDICAID 9000192116

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