Nicole Fontenot, LCSW
Social Worker, Clinical in Carencro, LA. Individual provider (NPI-1).
NPI number1689337487
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1689337487
- Entity type
- Individual (NPI-1)
- Name
- Nicole Fontenot
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2021
- Certification date
- Nov 5, 2021
- Last updated
- Nov 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 14127 | LA | Yes |
Practice location
3423 Nw Evangeline TrwyCarencro, LA 70520-6241
Phone 337-205-5855
Mailing address
1085 Vizinat RdVille Platte, LA 70586-6977
Phone 337-692-2155
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