Individual provider · Type 1 NPI

Andreya Fountain, SUDPT

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1821691130 Active

Practice location

2156 Pacific Ave
Tacoma, WA 98402-3004

Fax (253) 200-0636

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60985197 (WA)

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

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About NPI 1821691130

Andreya Fountain, SUDPT's National Provider Identifier is 1821691130, issued on Nov 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Nov 18, 2020.