Jacqueline Fountain, LAAC

NPI #1982596243 in Winslow, Arizona

Provider Information

NPI Number: 1982596243
Entity Type: Individual
Name: Jacqueline Fountain, LAAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LAAC
Enumeration Date: Jul 19, 2025
Last Updated: Sep 4, 2025

Practice Location

Address: 110 E SECOND ST
City: Winslow
State: Arizona
ZIP Code: 86047-3704
Phone: (602) 989-3276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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