Individual
ALLISON LAFOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA QMHA
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
1846 WILTSEY RD SE APT 313, SALEM, OR 97306-9630
(480) 205-2537
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
10/22/2024
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