Fountain, Shepherd Macdougald

Fountain, Shepherd Macdougald is an individual health care provider with primary practice located at 4010 Barrett Dr Ste 101, Raleigh NC 27609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fountain, Shepherd Macdougald can be contacted via phone (919) 788-8002.

Contact Information

Primary practice address
4010 Barrett Dr Ste 101 Raleigh NC 27609
Phone: (919) 788-8002
Fax: (919) 788-0740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 648LCAS North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003525LCSW North Carolina

Profile Details

NPI number 1871632729
LBN Legal business name Fountain, Shepherd Macdougald
Credentials LCSW LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jan 16th, 2009 - about 16 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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