Individual provider · Type 1 NPI
John Wesley Fountain Iii, MSW
Mental Health Counselor · Chicago, IL
NPI number
1891554002
Active
Practice location
7331 S Rhodes Ave
Chicago, IL 60619-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 149.029045 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1891554002
John Wesley Fountain Iii, MSW's National Provider Identifier is 1891554002, issued on Mar 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on May 21, 2025.