person
Kedeisha Fountain
Professional Counselor in Stratford, Connecticut
NPI 1184897084

Kedeisha Fountain is a Professional Counselor based in Naugatuck, CT and is specialized in Professional. Kedeisha Fountain practices in Stratford, CT. The NPI Number for Kedeisha Fountain is 1184897084 and holds a License No. (Connecticut).

The current practice location address for Kedeisha Fountain is 821 Success Ave, Stratford, CT and can be reached out via phone at 475-243-8875. You can also correspond with Kedeisha Fountain through the mailing address at 18 CADBURY PLACE, NAUGATUCK, CT - 06770 (mailing address contact number: 475-243-8875).

Location: 821 Success Ave, Stratford, CT, 06770
person
Provider Profile Details
NPI Number
1184897084
Provider Name
Kedeisha Fountain
Credential
Provider Entity Type
Individual
Gender
Female
Address
821 Success Ave, Stratford, CT, 06770
Phone Number
475-243-8875
Fax Number
Provider Enumeration Date
04/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
821 Success Ave
City
State
Zip
06614-3731
Phone Number
475-243-8875
Fax Number
person
Provider Business Mailing Address Details
Address
821 Success Ave
City
State
Zip
06614-3731
Phone Number
475-243-8875
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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