Individual
BARBARA L FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7901 CAMERON RD STE 2, AUSTIN, TX 78754-3807
(512) 779-3539
Mailing address
10502 SCHOOL HOUSE LN, AUSTIN, TX 78750-1730
(512) 779-3539
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
58179
TX
Other
Enumeration date
09/08/2007
Last updated
11/27/2007
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