Mrs Katherine Fontaine, LICSW | |
2 Allen St, Hampden, MA 01036-9552 | |
(413) 200-8874 | |
Not Available |
Full Name | Mrs Katherine Fontaine |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2 Allen St, Hampden, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013172311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Prospect Ct Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
Mailing Address | Practice Location Address |
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Mrs Katherine Fontaine, LICSW 2 Allen St # C, Hampden, MA 01036-9552 Ph: (413) 200-8874 | Mrs Katherine Fontaine, LICSW 2 Allen St, Hampden, MA 01036-9552 Ph: (413) 200-8874 |
Mr. Benjamin Barry Seligman, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Glendale Rd, Hampden, MA 01036 Phone: 413-566-5041 | |
Mrs. Andrea L Bailey, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Allen St Ste C, Hampden, MA 01036 Phone: 413-279-4424 | |
Jessica Lee Dagenais, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Allen St Ste F, Hampden, MA 01036 Phone: 513-817-1487 Fax: 860-971-3364 |