LONNIE V FONTAINE

SPOKANE, WA
NPI1588204648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60841843)
Enumeration Date2020-01-07
Last Update Date2020-01-07
Business Address
LONNIE V FONTAINE
812 S WALNUT ST
SPOKANE, WA 99204-3326
Phone number: 509-624-3251
Mailing Address
LONNIE V FONTAINE
812 S WALNUT ST
SPOKANE, WA 99204-3326
Phone number:
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