JORDAN T FOUNTAINE

NEW ORLEANS, LA
NPI1396237772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-06-01
Last Update Date2018-06-01
Business Address
JORDAN T FOUNTAINE
7921 BULLARD AVE STE 2C
NEW ORLEANS, LA 70128-1186
Phone number: 504-373-9626
Mailing Address
JORDAN T FOUNTAINE
7921 BULLARD AVE STE 2C
NEW ORLEANS, LA 70128-1186
Phone number: 504-373-9626
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