Fontenot, Terry B

Fontenot, Terry B is an individual health care provider with primary practice located at 939 Baxter Ave , Louisville KY 40204-2046. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fontenot, Terry B can be contacted via phone (502) 456-4773.

Contact Information

Primary practice address
939 Baxter Ave Louisville KY 40204-2046
Phone: (502) 456-4773
Fax: (502) 456-9472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 035 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0277 Kentucky

Profile Details

NPI number 1689670572
LBN Legal business name Fontenot, Terry B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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