Individual
MARY FONTENOT HUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
850 KALISTE SALOOM RD STE 204, LAFAYETTE, LA 70508-4230
(337) 534-8141
Mailing address
2445 PEACH BLOOM HWY, CHURCH POINT, LA 70525-3930
(337) 258-9825
(337) 534-8141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3642
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497133508
PRIVATE INSURANCE COMPANY
LA
Enumeration date
05/12/2020
Last updated
05/12/2020
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