Individual
MARISA FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 GLEN ST, GLENS FALLS, NY 12801-3666
(518) 760-3376
Mailing address
50 OAK TREE CIR, QUEENSBURY, NY 12804-2170
(518) 760-3376
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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