Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE FOUNTAIN, LAAC
ActiveJACQUELINE FOUNTAIN, LAAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WINSLOW, Arizona. NPI 1982596243 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WINSLOW, AZ
Registration Details
- NPI Number
- 1982596243
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2025 (1.0616453844286 yrs)
- Last Updated
- Sep 4, 2025
- License
-
LIAC-155391 (AZ)
Practice Information
- Address
-
110 E SECOND STWINSLOW, AZ, 860473704Browse AZ providers · Browse ZIP 86047
- Phone
- 6029893276
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WINSLOW, AZ
| Name | Credential | NPI |
|---|---|---|
| KAREN M BLACKWELL | LMFT LISAC | 1659326262 |
| MS. URSULA PAULA BAKER | BS; LISAC | 1700030962 |
| KRIS C PAPIN | MA, LASAC | 1871724211 |
| MR. DARRELL T HOUSE | LADAC | 1396065488 |
| WILFRED SHIRLEY | SUBSTANCE ABUSE COUN | 1790347573 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.