Fontana, Mary
Fontana, Mary is an sole proprietor health care provider with primary practice located at 1104 Main St Suite 500, Vancouver WA 98660-2999. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fontana, Mary can be contacted via phone (360) 696-3308.Contact Information
Primary practice address
1104 Main St Suite 500
Vancouver WA 98660-2999
Phone: (360) 696-3308
Fax: (360) 695-3436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH3001712 | Washington |
Profile Details
| NPI number | 1336196088 |
|---|---|
| LBN Legal business name | Fontana, Mary |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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