Jacqueline Fountain, LAAC
Counselor, Addiction (Substance Use Disorder) in Winslow, AZ. Individual provider (NPI-1).
NPI number1982596243
StatusActive
Last updated in NPPESSep 4, 2025
Details
- NPI
- 1982596243
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Fountain
- Credential
- LAAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2025
- Certification date
- Sep 4, 2025
- Last updated
- Sep 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LIAC-155391 | AZ | Yes |
Practice location
110 E Second StWinslow, AZ 86047-3704
Phone 602-989-3276
Mailing address
110 E Second StWinslow, AZ 86047-3704
Phone 928-358-9370 · Fax 928-358-9370
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Other Addiction (Substance Use Disorder) Counselor providers in Winslow, AZ
- Ursula Paula Baker, BS; LISACNPI 1700030962
- Karen M Blackwell, LMFT LISACNPI 1659326262
- Darrell T House, LADACNPI 1396065488
- Kris C Papin, MA, LASACNPI 1871724211
- Wilfred Shirley, SUBSTANCE ABUSE COUNNPI 1790347573
All 6 Addiction (Substance Use Disorder) Counselor providers in Winslow · All 329 providers in Winslow
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