Terran Eugene Fontenot, LMSW
Social Worker in Houston, TX. Individual provider (NPI-1).
NPI number1063135366
StatusActive
Last updated in NPPESSep 21, 2022
Details
- NPI
- 1063135366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Terran Eugene Fontenot
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 21, 2022
- Certification date
- Sep 21, 2022
- Last updated
- Sep 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 103323 | TX | Yes |
Practice location
2002 Holcombe BlvdHouston, TX 77030-4211
Phone 713-791-1414
Mailing address
15423 Copper Branch LnHouston, TX 77095-2847
Phone 281-608-0574
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