ELIZABETH FOUNTAIN

WASILLA, AK
NPI1609407832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-01-27
Last Update Date2020-01-27
Business Address
ELIZABETH FOUNTAIN
7010 E BOGARD RD
WASILLA, AK 99654-4711
Phone number: 907-373-4732
Mailing Address
ELIZABETH FOUNTAIN
PO BOX 876741
WASILLA, AK 99687-6741
Phone number:
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