MRS. NICOLE BRIANN FOUNTAIN
NPI 1770865214
Counselor in Corvallis, OR
- Individual
- Female
- Counselor
About NICOLE FOUNTAIN
This page provides the complete NPI Profile along with additional information for Nicole Fountain, a provider established in Corvallis, Oregon with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1770865214 assigned on September 2011. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1770865214 Verify this NPI
- Provider Name
- MRS. NICOLE BRIANN FOUNTAIN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4455 NE HIGHWAY 20 CORVALLIS, OR 97330
- Location Phone
- (503) 234-9591
- Mailing Address
- 3415 SE POWELL BLVD PORTLAND, OR 97202
- Mailing Phone
- (503) 234-9591
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-11-2011
- Last Update Date
- 09-11-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License State
- OR
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770865214, enumerated as an "individual" on September 11, 2011.
The provider is located at 4455 NE HIGHWAY 20 CORVALLIS, OR 97330 and the phone number is (503) 234-9591.
Counselor with taxonomy code 101Y00000X.
