Individual provider · Type 1 NPI

Evan Michael Lafountain

Mental Health Counselor · Salem, OR

NPI number 1285204511 Active

Practice location

805 Liberty St NE Ste 2
Salem, OR 97301-2463

Mailing address

2822 Walnut Ct
Hubbard, OR 97032-9692

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285204511

Evan Michael Lafountain's National Provider Identifier is 1285204511, issued on Jun 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Jun 29, 2021.