Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Fountain, LAAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1982596243

Jacqueline Fountain, LAAC is an Addiction (Substance Use Disorder) Counselor in Winslow, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

110 E Second St
Winslow, AZ 86047-3704
Phone: (602) 989-3276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LIAC-155391 (AZ)

Record details

NPI number1982596243
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAAC
Sole proprietorNo
NPI enumeratedJuly 19, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Other providers in Winslow