Individual
MR. RANDY FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5329 DIJON DRIVE, SUITE 105, BATON ROUGE, LA 70808
(225) 276-8428
Mailing address
5329 DIJON DRIVE, SUITE 105, BATON ROUGE, LA 70808-8721
(225) 276-8428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2810
LA
Other
Enumeration date
11/20/2009
Last updated
06/23/2010
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