Martha Lynn Fontenot LAC

NPI 1639329022 - Counselor - 101YA0400X

NPI Details
NPI 1639329022
Gender Female
Enumeration Date 09/23/2008
Last Updated 07/29/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
614 ESPLANADE ST
LAKE CHARLES LA, 70607-6308, US
Phone (337) 478-1411
Fax
Business Location
913 ARDMORE ST
LAKE CHARLES LA, 70605-5476, US
Phone (337) 302-3157
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Louisiana
License Number 808
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According to our database, Martha Lynn Fontenot LAC NPI is 1639329022, taxonomy code is 101YA0400X and license number is 808, license state is located at Louisiana. Martha Lynn Fontenot LAC physically located at 614 Esplanade St, Lake Charles LA, 70607-6308. NPI Number Martha Lynn Fontenot LAC has the Individual type.

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1639329022 NPI number is provided on an as is basis without warranty of any kind. 1639329022 is maintained by the National Plan & Provider Enumeration System. The contents of Martha Lynn Fontenot LAC are for informational purposes only.