Individual
MRS. SONYA LEA FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3500 S BOULEVARD, BLDG B SUITE 12B, EDMOND, OK 73013-5486
(405) 206-3185
Mailing address
3230 EVERETT DR, EDMOND, OK 73013-7441
(405) 206-3185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1458
OK
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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