Provider Demographics
NPI:1871837179
Name:FONTEIN, GEORGINA NOEMI (MA LMFT)
Entity type:Individual
Prefix:MRS
First Name:GEORGINA
Middle Name:NOEMI
Last Name:FONTEIN
Suffix:
Gender:
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 PARADE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8373
Mailing Address - Country:US
Mailing Address - Phone:775-440-4977
Mailing Address - Fax:
Practice Address - Street 1:4600 KIETZKE LN STE N250
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-5000
Practice Address - Country:US
Practice Address - Phone:775-440-4977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist