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Individual

BROOKS ELIZABETH FONTENOT MINKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
12628 HOOPER RD STE C, BATON ROUGE, LA 70818-3527
(225) 480-6605
(225) 342-6207
Mailing address
12628 HOOPER RD STE C, BATON ROUGE, LA 70818-3527
(225) 953-8170
(225) 342-5568

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171M00000X
Case Manager/Care Coordinator
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215365689
LA
05
1881138899
LA
Enumeration date
11/29/2017
Last updated
05/05/2025
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