TINA FOUNTAIN, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1417944992
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 0904005723 (VA) |
Frequently Asked Questions
NPI 1417944992 is the National Provider Identifier for TINA FOUNTAIN, LCSW, a Social Worker - Clinical provider located in Richmond, VA. This NPI was enumerated on September 30, 2005.
TINA FOUNTAIN, LCSW practices at 612 HULL ST STE 101A, Richmond, VA 23224.
Quick Facts
- NPI
- 1417944992
- Type
- Individual
- Enumerated
- Sep 30, 2005
- Last Updated
- Apr 8, 2025
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