Individual provider · Type 1 NPI

Y Fountain, PhD, LPC, RPT

Professional Counselor · Tucker, GA

NPI number 1649683848 Active

Practice location

1479 Brockett Rd, Suite 100
Tucker, GA 30084-7326

Call (770) 375-8124 Map

Mailing address

3545 Broad St # 80742
Atlanta, GA 30341-2259

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC006900 (GA)

Professional Counselor: Definition to come...

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About NPI 1649683848

Y Fountain, PhD, LPC, RPT's National Provider Identifier is 1649683848, issued on Jun 4, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tucker, GA. The record was last updated on Apr 4, 2015.