Y Fountain, PHD, LPC, RPT

NPI #1649683848 in Tucker, Georgia

Provider Information

NPI Number
1649683848
Entity Type
Individual
Name
Y Fountain, PHD, LPC, RPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
PHD, LPC, RPT
Enumeration Date
Jun 4, 2014
Last Updated
Apr 4, 2015

Practice Location

Address
1479 BROCKETT RD
Address 2
SUITE 100
City
Tucker
State
Georgia
ZIP Code
30084-7326
Phone
(770) 375-8124

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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