Individual
JESSICA LYN FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
26 MIDFIELD DR APT 14, WATERBURY, CT 06705-5939
(203) 568-3413
Mailing address
26 MIDFIELD DR APT 14, WATERBURY, CT 06705-5939
(203) 568-3413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7656
CT
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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