Fontneau, Diane

Fontneau, Diane is an individual health care provider with primary practice located at 1145 Sagamore Ave , Portsmouth NH 03801-5503. 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Fontneau, Diane can be contacted via phone (603) 431-6703.

Contact Information

Primary practice address
1145 Sagamore Ave Portsmouth NH 03801-5503
Phone: (603) 431-6703
Fax: (603) 430-3753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1002 New Hampshire
Behavioral Health & Social Service Providers / Mental Health 101YM0800X New Hampshire
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1180 New Hampshire

Profile Details

NPI number 1366990426
LBN Legal business name Fontneau, Diane
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2016
Last updated Mar 23rd, 2023 - about last year

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 1366990426 NPPES
New Hampshire MEDICAID 3078870

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