Individual
TATIANA FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1828
(304) 680-4673
Mailing address
1206 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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