Jenna Sue Fountain

NPI #1093582942 in Andover, Kansas

Provider Information

NPI Number: 1093582942
Entity Type: Individual
Name: Jenna Sue Fountain
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 11, 2023
Last Updated: Dec 11, 2023

Practice Location

Address: 221 E KING ST
City: Andover
State: Kansas
ZIP Code: 67002-8964
Phone: (316) 733-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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