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Individual

ALEC FONTENOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
LAC

Contact information

Practice address
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801-2803
(479) 968-2001
Mailing address
1310 W MAIN ST STE 201, RUSSELLVILLE, AR 72801-2803
(479) 968-2001

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2606023
AR
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/03/2026
Last updated
06/29/2026
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