Individual
JESSICA LYNN FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, RPT
Contact information
Practice address
1011 HARDING ST, LAFAYETTE, LA 70503-2411
(337) 257-2210
Mailing address
1021 BEAR CREEK CIR, BREAUX BRIDGE, LA 70517-6741
(337) 257-2210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6916
LA
Other
Enumeration date
03/20/2023
Last updated
03/26/2023
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