| Doctor Name: | MS. DENISE MARIE PREFONTAINE |
| NPI Number: | 1033241500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN BS LMHC |
| License Number: | 1505 |
| Business Practice Address: | 529 Pearl St Brockton, MA - 023012825 |
| Business Phone Number: | 5085802211 |
| Business Fax Number: | 5084271772 |
| Mailing Address: | 33 Eliot Memorial Rd, NEWTON |
| State: | MA |
| Postal Code: | 024582703 |
| Phone Number: | 6179643585 |
| Fax Number: | 6179694049 |
| NPI Enumeration Date: | 03/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1505 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |