Individual
MR. ROBERT RICHARD FEZEKAS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LAC
Contact information
Practice address
201 GREENBRIER BLVD, COVINGTON, LA 70433-7236
(504) 239-4729
(985) 867-1154
Mailing address
2905 JACKSON BLVD, CHALMETTE, LA 70043-2925
(504) 239-4729
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1518
LA
1041C0700X
Clinical Social Worker
Primary
14427
LA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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