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1619696515
CHARLES R FONTENOT
HOUSTON, TX
NPI
1619696515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 16043)
Enumeration Date
2022-08-24
Last Update Date
2022-08-25
Business Address
CHARLES R FONTENOT LCDC
11301 RICHMOND AVE STE K105
HOUSTON, TX 77082-5549
Phone number: 281-293-9600
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Mailing Address
CHARLES R FONTENOT LCDC
PO BOX 550382
HOUSTON, TX 77255-0382
Phone number: 281-546-3740
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