Individual
ANGELA QUEBEDEAUX FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CRC, LRC
Contact information
Practice address
1728A W UNIVERSITY AVE, LAFAYETTE, LA 70506-3348
(337) 262-0013
(337) 262-0691
Mailing address
1728A W UNIVERSITY AVE, LAFAYETTE, LA 70506-3348
(337) 262-0013
(337) 262-0691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3369
LA
225C00000X
Rehabilitation Counselor
668
LA
Other
Enumeration date
11/06/2011
Last updated
11/06/2011
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