Individual
DIANE FONTNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
(603) 430-3753
Mailing address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
(603) 430-3753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1002
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1180
NH
101YM0800X
Mental Health Counselor
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078870
—
NH
Enumeration date
09/19/2016
Last updated
03/23/2023
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