Individual
JEANETTE FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 JERRYS RD, PALMETTO, LA 71358-2527
(337) 945-3072
(337) 407-5147
Mailing address
164 JERRYS RD, PALMETTO, LA 71358-2527
(337) 945-3072
(337) 407-5147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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