Individual
PAUL LEO FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
1010 N 500 E STE 120, NORTH SALT LAKE, UT 84054-1949
(973) 349-5552
Mailing address
1010 N 500 E STE 120, NORTH SALT LAKE, UT 84054-1949
(973) 349-5552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12912750-6004
UT
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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