Chanica Lynna Fountain
Rehabilitation Counselor
6700 Sheffield Dr
Las Vegas
, Nevada 89108-5449
Chanica Lynna Fountain
Rehabilitation Counselor
6700 Sheffield Dr
Las Vegas
, Nevada 89108-5449
(702) 788-3216
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Chanica Lynna Fountain
- 6700 Sheffield Dr
- Las Vegas, NV
- Zip : 89108-5449
- Phone : (702) 788-3216
Second Address
- Chanica Lynna Fountain
- 6700 Sheffield Dr
- Las Vegas, NV
- Zip : 89108-5449
- Phone : (702) 788-3216
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1073924460 |
|---|---|
| Provider Name | Chanica Lynna Fountain |
| First Address | Las Vegas, NV 89108-5449 |
| Second Address | Las Vegas, NV 89108-5449 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2014 |
| Last Update Date | 19/05/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.