Individual
CLARA I FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903A AVENUE D, KATY, TX 77493-2325
(713) 489-6240
Mailing address
24222 LAKE PATH CIR, KATY, TX 77493-2544
(337) 529-6380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14366
TX
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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