SearchLouisiana101Y00000X

Jarvis Fountaine, CIT

NPI 1760193163 · on the registry since 2022 · sole proprietor

Practice

Address
5505 Shreveport Hwy
Pineville, LA 71360
Phone
(318) 441-5900
Organisation at this address
Pathways Substance Abuse, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2022-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana