Individual provider · Type 1 NPI
Tracy Dian Fountain, BHRS
Counselor · Welling, OK
NPI number
1194095273
Active
Practice location
27753 S Welling Rd
Welling, OK 74471-2202
Fax (918) 457-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1194095273
Tracy Dian Fountain, BHRS's National Provider Identifier is 1194095273, issued on Jan 6, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Welling, OK. The record was last updated on Jan 6, 2012.