Individual provider · Type 1 NPI

Eddie Fountain

Mental Health Counselor · Tallulah, LA

NPI number 1295182889 Active

Practice location

1705 Felicia Ave
Tallulah, LA 71282-8203

Fax (318) 574-8646

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295182889

Eddie Fountain's National Provider Identifier is 1295182889, issued on May 24, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tallulah, LA. The record was last updated on May 24, 2016.