Individual
JESSICA FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LRC
Contact information
Practice address
315 S COLLEGE RD, SUITE 220, LAFAYETTE, LA 70503-3212
(337) 456-7880
(337) 456-7882
Mailing address
315 S COLLEGE RD, SUITE 220, LAFAYETTE, LA 70503-3212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4651
LA
101YP2500X
Professional Counselor
Primary
730
LA
Other
Enumeration date
12/01/2015
Last updated
02/23/2016
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