Ms Ryan Jennifer Fontaine, MA | |
210 N Highway 27 Ste 4, Clermont, FL 34711-2411 | |
(352) 708-6283 | |
Not Available |
Full Name | Ms Ryan Jennifer Fontaine |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 210 N Highway 27 Ste 4, Clermont, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568780435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH11559 (Florida) | Primary |
Entity Name | Family Life Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033665260 PECOS PAC ID: 0648623835 Enrollment ID: O20240124000959 |
Mailing Address | Practice Location Address |
---|---|
Ms Ryan Jennifer Fontaine, MA 1015 Arthur Ave, Orlando, FL 32804-2826 Ph: (407) 739-5561 | Ms Ryan Jennifer Fontaine, MA 210 N Highway 27 Ste 4, Clermont, FL 34711-2411 Ph: (352) 708-6283 |
Jomairy Paulino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 Ruby Red Blvd, Clermont, FL 34714 Phone: 352-391-0573 | |
Mrs. Krystie Moss, Counselor Medicare: Medicare Enrolled Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-708-6283 | |
Paola Andrea Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 Ruby Red Blvd Ste D, Clermont, FL 34714 Phone: 352-394-0573 | |
Jessica Ongko, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-315-7500 Fax: 352-360-6595 | |
Ms. Kim R Smith, LMHC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-708-6283 | |
Sherly Rainey, Counselor Medicare: Medicare Enrolled Practice Location: 2113 Ruby Red Blvd Ste D, Clermont, FL 34714 Phone: 352-394-0573 | |
Latoya Tomeka Boyd, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17011 State Road 50, Clermont, FL 34711 Phone: 850-509-4825 |