Doctor Name: | JESSICA LYNNE FONTE |
NPI Number: | 1295915064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | |
Business Practice Address: | 2120 Alpine Blvd. Alpine Special Treatment Center Alpine, CA - 91901 |
Business Phone Number: | 6196593120 |
Business Fax Number: | 6194450444 |
Mailing Address: | 2400 S 48th St, SPRINGDALE |
State: | AR |
Postal Code: | 727626683 |
Phone Number: | 4797502020 |
Fax Number: | 4798722441 |
NPI Enumeration Date: | 11/09/2007 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |