Individual provider · Type 1 NPI
Brandy Thelma Fountain, LPCC
Mental Health Counselor · Roseville, MN
NPI number
1457809139
Active
Practice location
2823 Lexington Ave N, Apt 103
Roseville, MN 55113-2086
Other practice locations
- 5555 Boone Ave N, New Hope, MN 55428-3636 · (651) 774-0011
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 1457809139
Brandy Thelma Fountain, LPCC's National Provider Identifier is 1457809139, issued on Sep 12, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseville, MN. The record was last updated on Jul 22, 2024.