Individual
JENNIFER FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 503-7428
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 503-7428
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2671
CO
Other
Enumeration date
11/03/2006
Last updated
06/09/2015
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