Individual
MS. CARRIE AMELIA FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
1008 PINE ST, ARKADELPHIA, AR 71923-4919
(870) 230-8364
(870) 230-8381
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580
(479) 872-5581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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