Individual
MRS. MARY FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-II
Contact information
Practice address
2007 OLD LAFAYETTE RD, FT. OGLETHORPE, GA 30742
(706) 861-9390
Mailing address
2007 OLD LAFAYETTE RD, FT OGLETHORPE, GA 30742-3510
(706) 861-9390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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