Jaimie Lynne Fountain, LMSW, LMHC
Social Worker in Williamsville, NY. Individual provider (NPI-1).
NPI number1548094592
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1548094592
- Entity type
- Individual (NPI-1)
- Name
- Jaimie Lynne Fountain
- Credential
- LMSW, LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2024
- Certification date
- Aug 16, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
6350 Main StWilliamsville, NY 14221-5821
Phone 716-783-3100
Mailing address
61 June DrElma, NY 14059-9203
Phone 716-864-7052
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All 33 Social Worker providers in Williamsville · All 4,124 providers in Williamsville
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