| Jacqueline Fountain, LAAC | |
|
110 E Second St, Winslow, AZ 86047-3704 | |
| (602) 989-3276 | |
| Not Available |
| Full Name | Jacqueline Fountain |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 110 E Second St, Winslow, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982596243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LIAC-155391 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Fountain, LAAC 110 E Second St, Winslow, AZ 86047-3704 Ph: (928) 358-9370 | Jacqueline Fountain, LAAC 110 E Second St, Winslow, AZ 86047-3704 Ph: (602) 989-3276 |
Mr. Darrell T House, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N. Indiana Avenue, Winslow, AZ 86047 Phone: 928-289-4646 Fax: 928-289-6225 | |
Karen M Blackwell, LMFT LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 E Third St, Winslow, AZ 86047 Phone: 928-289-4658 Fax: 928-289-3775 | |
Ms. Ursula Paula Baker, BS; LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 W Second St, Winslow, AZ 86047 Phone: 928-289-2650 Fax: 928-289-0477 | |
Wilfred Shirley, SUBSTANCE ABUSE COUN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 Phone: 928-657-8000 Fax: 928-657-8009 | |
Stephanie E Peters, SCHOOL COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 N Apache Ave, Winslow, AZ 86047 Phone: 928-288-8636 Fax: 928-288-8295 | |
Kris C Papin, MA, LASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 W Second St, Winslow, AZ 86047 Phone: 928-289-2650 Fax: 928-289-0477 |