Individual
TIFFANY JEANELL FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
7200 NORTH LOOP E, HOUSTON, TX 77028-5951
(713) 970-7000
Mailing address
9401 SOUTHWEST FWY, HOUSTON, TX 77074-1407
(713) 970-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17052
TX
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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