Brian H Fontaine CADAC II

NPI # 

Practice Address:

2125 E 450 S

La Porte, IN, 46350-7649

Practice Phone:

192-608-4926

License Number:

C2-5180

License State:

IN

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Psychologist

Taxonomy Specialization:

Addiction (Substance Use Disorder)

Taxonomy Code:

103TA0400X