| NPI | 1356901540 |
|---|---|
| Other Name | CLARISOL I FONTENOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14366) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |