Individual
NICOLE FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3423 NW EVANGELINE TRWY, CARENCRO, LA 70520-6241
(337) 205-5855
Mailing address
1085 VIZINAT RD, VILLE PLATTE, LA 70586-6977
(337) 692-2155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14127
LA
Other
Enumeration date
10/19/2021
Last updated
11/05/2021
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