Individual provider · Type 1 NPI

Nicole Briann Fountain

Counselor · Corvallis, OR

NPI number 1770865214 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Call (503) 234-9591 Map

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1770865214

Nicole Briann Fountain's National Provider Identifier is 1770865214, issued on Sep 11, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Corvallis, OR. The record was last updated on Sep 11, 2011.