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Kelly Fountain, M.s., L.p.t., L.l.c.
Counselor in Mobile, Alabama
NPI 1154714384

Kelly Fountain, M.s., L.p.t., L.l.c. is a Counselor based in Mobile, AL. Kelly Fountain, M.s., L.p.t., L.l.c. practices in Mobile, AL. The NPI Number for Kelly Fountain, M.s., L.p.t., L.l.c. is 1154714384 and holds a License No. 1586 (Alabama).

The current practice location address for Kelly Fountain, M.s., L.p.t., L.l.c. is 2864 Dauphin St, Mobile, AL and can be reached out via phone at 251-470-7607. You can also correspond with Kelly Fountain, M.s., L.p.t., L.l.c. through the mailing address at 2864 DAUPHIN ST, MOBILE, AL - 36606-2479 (mailing address contact number: ).

Location: 2864 Dauphin St, Mobile, AL, 36606-2479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154714384
Provider Name
Kelly Fountain, M.s., L.p.t., L.l.c.
Credential
Provider Entity Type
Organization
Address
2864 Dauphin St, Mobile, AL, 36606-2479
Phone Number
251-470-7607
Fax Number
Provider Enumeration Date
03/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003148487 01 AL NPI
511-33704 01 AL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2864 Dauphin St
City
Mobile
State
Alabama
Zip
36606-2479
Phone Number
251-470-7607
Fax Number
person
Provider Business Mailing Address Details
Address
2864 Dauphin St
City
Mobile
State
Alabama
Zip
36606-2479
Phone Number
251-470-7607
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1586 (Alabama)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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