Provider Demographics
NPI:1902404288
Name:FONTI, LAUREN ANNE (AMFT, APCC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANNE
Last Name:FONTI
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 REESIDE AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1809
Mailing Address - Country:US
Mailing Address - Phone:631-897-9406
Mailing Address - Fax:
Practice Address - Street 1:361 REESIDE AVE UNIT A
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-1809
Practice Address - Country:US
Practice Address - Phone:631-897-9406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist