JACQUELINE FOUNTAIN, LAAC

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1982596243

Practice Address

110 E SECOND ST
Winslow, AZ 86047

Phone: (602) 989-3276

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes LIAC-155391 (AZ)

Frequently Asked Questions

NPI 1982596243 is the National Provider Identifier for JACQUELINE FOUNTAIN, LAAC, a Counselor - Addiction (Substance Use Disorder) provider located in Winslow, AZ. This NPI was enumerated on July 19, 2025.
JACQUELINE FOUNTAIN, LAAC practices at 110 E SECOND ST, Winslow, AZ 86047.

Quick Facts

NPI
1982596243
Type
Individual
Enumerated
Jul 19, 2025
Last Updated
Sep 4, 2025