Fountain, Mary D

Fountain, Mary D is an individual health care provider with primary practice located at 2500 Bissell Ave , Richmond CA 94804-1815. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fountain, Mary D can be contacted via phone (510) 235-1516.

Contact Information

Primary practice address
2500 Bissell Ave Richmond CA 94804-1815
Phone: (510) 235-1516
Fax: (510) 235-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1568529816
LBN Legal business name Fountain, Mary D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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