Fontaine, Joan Lee

Fontaine, Joan Lee is an individual health care provider with primary practice located at 3500 Baltimore Ave , Pueblo CO 81008-1543. She 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fontaine, Joan Lee can be contacted via phone (719) 545-1181.

Contact Information

Primary practice address
3500 Baltimore Ave Pueblo CO 81008-1543
Phone: (719) 545-1181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4236 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1418 Colorado

Profile Details

NPI number 1891850053
LBN Legal business name Fontaine, Joan Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Dec 3rd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891850053 NPPES
Colorado Other 4236 CAC III
Colorado Other 1418 CAC III

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