MARIANN FOUNTAIN
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1063463834
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1063463834 is the National Provider Identifier for MARIANN FOUNTAIN, a Counselor - Addiction (Substance Use Disorder) provider located in Wichita, KS. This NPI was enumerated on May 15, 2006.
MARIANN FOUNTAIN practices at 940 N WACO AVE, Wichita, KS 67203.
Quick Facts
- NPI
- 1063463834
- Type
- Individual
- Enumerated
- May 15, 2006
- Last Updated
- Jul 8, 2007
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SUBHASH SHAH, MD
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