EVAN MICHAEL LAFOUNTAIN

SALEM, OR
NPI1285204511
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-06-29
Last Update Date2021-06-29
Business Address
EVAN MICHAEL LAFOUNTAIN
805 LIBERTY ST NE STE 2
SALEM, OR 97301-2463
Phone number: 219-669-8267
Mailing Address
EVAN MICHAEL LAFOUNTAIN
2822 WALNUT CT
HUBBARD, OR 97032-9692
Phone number: 219-669-8267
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