Kedeisha Fountain
Kedeisha Fountain is a Professional Counselor in Stratford, Connecticut. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
821 Success AveStratford, CT 06614-3731
Phone: (475) 243-8875
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1184897084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 11, 2008 |
| Last updated in NPPES | October 12, 2023 |
| Certification date | October 12, 2023 |
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