CAMERON FOUNTAIN

IRVING, TX
NPI1801405238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-07-31
Last Update Date2020-07-31
Business Address
CAMERON FOUNTAIN LCDC
612 N STORY RD STE 101
IRVING, TX 75061-6764
Phone number: 469-708-2955
Mailing Address
CAMERON FOUNTAIN LCDC
8109 SKILLMAN ST APT 3008
DALLAS, TX 75231-2828
Phone number:
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