Individual
DONELLE JAMES FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
9171 COCKERHAM RD, DENHAM SPRINGS, LA 70726-2255
(225) 241-4140
Mailing address
9171 COCKERHAM RD., DEMHAM, LA 70726
(225) 241-4140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5781
LA
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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