Individual provider · Type 1 NPI

Jacqueline Fountain, LAAC

Addiction (Substance Use Disorder) Counselor · Winslow, AZ

NPI number 1982596243 Active

About NPI 1982596243

Jacqueline Fountain, LAAC's National Provider Identifier is 1982596243, issued on Jul 19, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winslow, AZ. The record was last updated on Sep 4, 2025.