Fontaine, Brian H

Fontaine, Brian H is an individual health care provider with primary practice located at 2125 E 450 S , La Porte IN 46350-7649. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Fontaine, Brian H can be contacted via phone (192) 608-4926.

Contact Information

Primary practice address
2125 E 450 S La Porte IN 46350-7649
Phone: (192) 608-4926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X C2-5180 Indiana
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X C2-5180 Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C2-5180 Indiana

Profile Details

NPI number 1871201152
LBN Legal business name Fontaine, Brian H
Credentials CADAC II
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2022
Last updated Nov 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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