Mariann Fountain

NPI #1063463834 in Wichita, Kansas

Provider Information

NPI Number
1063463834
Entity Type
Individual
Name
Mariann Fountain
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
May 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
940 N WACO AVE
State
Kansas
ZIP Code
67203-3947
Phone
(316) 660-7550

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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