Individual provider · Type 1 NPI

Cameron Fountain, LCDC

Addiction (Substance Use Disorder) Counselor · Irving, TX

NPI number 1801405238 Active

Practice location

612 N Story Rd Ste 101
Irving, TX 75061-6764

Call (469) 708-2955 Map

Mailing address

8109 Skillman St Apt 3008
Dallas, TX 75231-2828

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801405238

Cameron Fountain, LCDC's National Provider Identifier is 1801405238, issued on Jul 31, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Irving, TX. The record was last updated on Jul 31, 2020.