TIMOTHY JOSEPH FOUNTAIN

PORT ANGELES, WA
NPI1558100172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-05-22
Last Update Date2024-05-22
Business Address
TIMOTHY JOSEPH FOUNTAIN
118 E 8TH ST
PORT ANGELES, WA 98362-6129
Phone number: 360-457-0431
Mailing Address
TIMOTHY JOSEPH FOUNTAIN
118 E 8TH ST
PORT ANGELES, WA 98362-6129
Phone number: 360-457-0431