Individual
JON LAFONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA. PSY
Contact information
Practice address
791 ANTHRACITE, FRUITA, CO 81521-2390
(970) 858-3378
Mailing address
791 ANTHRACITE, FRUITA, CO 81521-2390
(970) 858-3378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10
CO
101YM0800X
Mental Health Counselor
Primary
—
CO
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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