| Diane Fontneau, LADC | |
|
1145 Sagamore Ave, Portsmouth, NH 03801-5503 | |
| (603) 431-6703 | |
| (603) 430-3753 |
| Full Name | Diane Fontneau |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1145 Sagamore Ave, Portsmouth, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366990426 | NPI | - | NPPES |
| 3078870 | Medicaid | NH |
| Entity Name | Seacoast Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013092857 PECOS PAC ID: 0749240208 Enrollment ID: O20041019000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Fontneau, LADC 1145 Sagamore Ave, Portsmouth, NH 03801-5503 Ph: (603) 431-6703 | Diane Fontneau, LADC 1145 Sagamore Ave, Portsmouth, NH 03801-5503 Ph: (603) 431-6703 |
Heath Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 | |
Joshua Steele Hagar, MS, LCPC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Middle St, Portsmouth, NH 03801 Phone: 978-846-7144 | |
Rachel Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 | |
Abigail Gerbino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 | |
Juliana Defeo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 | |
Ms. Dana Patrice Peters, M.ED., M.L.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 Islington St, Portsmouth, NH 03801 Phone: 603-427-6858 Fax: 603-427-6555 | |
Kelly Lucinda Lee, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 Greenland Rd, Portsmouth, NH 03801 Phone: 603-717-6488 |