Leroy Fountain

NPI #1942070073 in Gorman, California

Provider Information

NPI Number: 1942070073
Entity Type: Individual
Name: Leroy Fountain
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 9, 2024
Last Updated: Jan 9, 2024

Practice Location

Address: 49713 GORMAN POST RD
City: Gorman
State: California
ZIP Code: 93243-9701
Phone: (661) 724-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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