person
Y Fountain, PHD,LPC,RPT
Professional Counselor in Tucker, Georgia
NPI 1649683848

Y Fountain is a Professional Counselor based in Atlanta, GA and is specialized in Professional. Y Fountain practices in Tucker, GA and has the professional credentials of PHD,LPC,RPT. The NPI Number for Y Fountain is 1649683848 and holds a License No. LPC006900 (Georgia).

The current practice location address for Y Fountain is 1479 Brockett Rd, Tucker, GA and can be reached out via phone at 770-375-8124.

Location: 1479 Brockett Rd, Tucker, GA, 30341-2259
person
Provider Profile Details
NPI Number
1649683848
Provider Name
Y Fountain
Credential
PHD,LPC,RPT
Provider Entity Type
Individual
Gender
Female
Address
1479 Brockett Rd, Tucker, GA, 30341-2259
Phone Number
770-375-8124
Fax Number
Provider Enumeration Date
06/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1479 Brockett Rd
City
State
Zip
30084-7326
Phone Number
770-375-8124
Fax Number
person
Provider Business Mailing Address Details
Address
1479 Brockett Rd
City
State
Zip
30084-7326
Phone Number
770-375-8124
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC006900 (Georgia)
Definition
Definition to come...
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