All Medicaid billing entities listing FOUNTAIN, ERIKA (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wisconsin | 1 | $77K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LAKE GENEVA WELLNESS CLINIC LLC | LAKE GENEVA, WI | Clinical Psychologist | $77K |