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NPI Code Detail

MEDICARE: SANDRA ELLEN FONTES LCMHC

MEDICARE: SANDRA ELLEN FONTES LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor1177NH

General Provider Information

NPI Number : 1982985529
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA ELLEN FONTES LCMHC
Provider Business Mailing Address
First Line : 99 DALTON RD
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2130
Country : US
Telephone Number : 978-606-5304
Fax Number :
Provider Business Practice Location Address
First Line : 6 BOSTON RD STE 108
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-3075
Country : US
Telephone Number : 978-606-5304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2011
Last Update Date : 03/18/2026

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Directions to “ SANDRA ELLEN FONTES LCMHC” Practice Location

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