Individual
SHERRY FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 528-0110
Mailing address
113 ALABAMA AVE, PROVIDENCE, RI 02905-5207
(401) 500-8374
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
07/24/2023
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