Hammond Addictive Disorders Clinic | |
202 E Robert St Hammond LA 70401-3350 | |
(985) 543-4070 | |
(985) 543-4073 |
Full Name | Hammond Addictive Disorders Clinic |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 202 E Robert St, Hammond, Louisiana |
Authorized Official Name and Position | Willie Wallace (CLINIC MANAGER) |
Authorized Official Contact | 9855434071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hammond Addictive Disorders Clinic 202 E Robert St Hammond LA 70401-3350 Ph: (985) 543-4070 | Hammond Addictive Disorders Clinic 202 E Robert St Hammond LA 70401-3350 Ph: (985) 543-4070 |
NPI Number | 1699726299 |
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Provider Enumeration Date | 05/16/2006 |
Last Update Date | 02/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699726299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 023 (Louisiana) | Primary |
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