| Mr Mark Shane Anderson, RAC, CCDP, CCGC | |
|
4105 Kirkman St, Lake Charles, LA 70607-4603 | |
| (337) 475-8738 | |
| (337) 475-8054 |
| Full Name | Mr Mark Shane Anderson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4105 Kirkman St, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184825705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2251 CIT (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Shane Anderson, RAC, CCDP, CCGC 811 Fall St, Lake Charles, LA 70601-8659 Ph: (337) 433-4475 | Mr Mark Shane Anderson, RAC, CCDP, CCGC 4105 Kirkman St, Lake Charles, LA 70607-4603 Ph: (337) 475-8738 |
Fallon Harmon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Common St, Lake Charles, LA 70601 Phone: 337-437-4014 | |
Kimberly Chevis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Common St, Lake Charles, LA 70601 Phone: 337-437-4014 | |
Ms. Nyneisha Ruth Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Common St, Lake Charles, LA 70601 Phone: 337-437-4014 | |
Mrs. Dianna Lynn Dearden, LPC LMFT CNN RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 W Bayou Pines Dr, Suite B, Lake Charles, LA 70601 Phone: 337-310-0153 Fax: 337-310-0202 | |
Mrs. Michelle Renee Roshto, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4131 Canal St Ste B, Lake Charles, LA 70605 Phone: 337-274-8017 Fax: 833-713-2641 | |
Rebekah Anne Cox, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4216 Lake St, Lake Charles, LA 70605 Phone: 337-274-5335 | |
Laura Holmes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2706 Hodges St, Lake Charles, LA 70601 Phone: 337-491-1740 Fax: 337-491-1741 |