Individual provider · Type 1 NPI
Koreema Fountain
Mental Health Counselor · Philadelphia, PA
NPI number
1417848524
Active
Practice location
7223 Edmund St
Philadelphia, PA 19135-1303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1417848524
Koreema Fountain's National Provider Identifier is 1417848524, issued on Jul 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 30, 2025.