Individual
MRS. EVELYN FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 SHUFF RD, VILLE PLATTE, LA 70586-6729
(337) 363-3703
Mailing address
527 SHUFF RD, VILLE PLATTE, LA 70586-6729
(337) 363-3703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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