MICHELLE FOUNTAIN

SANTA ROSA, CA
NPI1811147895
Former NameMICHELLE NEWTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  65670)
Enumeration Date2008-09-25
Last Update Date2015-03-11
Business Address
-- MICHELLE FOUNTAIN LCSW
1200 COLLEGE AVE
SANTA ROSA, CA 95404-3908
Phone number: 707-568-2300
Mailing Address
-- MICHELLE FOUNTAIN LCSW
444 TROWBRIDGE ST
SANTA ROSA, CA 95401-5323
Phone number: 707-529-7835
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