Individual
MS. JANICE M FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
8101 OVERLAND PARK DR, OVERLAND PARK, KS 66204-3746
(913) 484-6809
Mailing address
6135 W 120TH ST APT 103, LEAWOOD, KS 66209-3738
(913) 484-6809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
242
KS
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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