Individual provider · Type 1 NPI
Charles R. Fontenot Jr., LCDC
Addiction (Substance Use Disorder) Counselor · Houston, TX
NPI number
1619696515
Active
Practice location
11301 Richmond Ave Ste K105
Houston, TX 77082-5549
Mailing address
PO Box 550382
Houston, TX 77255-0382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16043 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
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About NPI 1619696515
Charles R. Fontenot Jr., LCDC's National Provider Identifier is 1619696515, issued on Aug 24, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Houston, TX. The record was last updated on Aug 25, 2022.