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Individual

MRS. LORRAINE FONTENOT LANDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC LMFT

Contact information

Practice address
17397 TIGER RD, PRAIRIEVILLE, LA 70769-6035
(225) 622-2672
(225) 622-3983
Mailing address
17397 TIGER RD, PRAIRIEVILLE, LA 70769-6035
(225) 622-2672
(225) 622-3983

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC 1783
LA
106H00000X
Marriage & Family Therapist
Primary
LMFT 196
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1900H2239Z
BLUE CROSS BLUE SHIELD
LA
01
38940
NCC
Enumeration date
04/04/2007
Last updated
09/11/2025
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