MICHELE FONTAINE

ENFIELD, CT
NPI1720282833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  000807)
Enumeration Date2007-06-13
Last Update Date2012-03-16
Business Address
-- MICHELE FONTAINE LADC
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-253-5020
Mailing Address
-- MICHELE FONTAINE LADC
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-253-5020