STEPHEN DAVID FOUNTAIN

CONCORD, CA
NPI1457770927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-04-14
Last Update Date2014-04-14
Business Address
Mr. STEPHEN DAVID FOUNTAIN
1410 DANZIG PLZ
CONCORD, CA 94520-7979
Phone number: 925-265-6957
Mailing Address
Mr. STEPHEN DAVID FOUNTAIN
1410 DANZIG PLZ
CONCORD, CA 94520-7979
Phone number: 925-265-6957