| Randy Fontenot & Associates | |
|
5329 Dijon Dr Suite 105 Baton Rouge LA 70808-4378 | |
| (225) 276-8428 | |
| Not Available |
| Full Name | Randy Fontenot & Associates |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5329 Dijon Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Randy Fontenot (MANAGER) |
| Authorized Official Contact | 2252768428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Fontenot & Associates 5329 Dijon Dr Suite 105 Baton Rouge LA 70808-4378 Ph: (225) 276-8428 | Randy Fontenot & Associates 5329 Dijon Dr Suite 105 Baton Rouge LA 70808-4378 Ph: (225) 276-8428 |
| NPI Number | 1265976930 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 12/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265976930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2810 (Louisiana) | Primary |
| 106H00000X | Marriage & Family Therapist | 1178 (Louisiana) | Secondary |
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