Individual
MERIVA FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 LESTER ST, EUNICE, LA 70535-3712
(337) 546-0902
Mailing address
750 LESTER ST, EUNICE, LA 70535-3712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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