Lafayette Addictive Disorders Clinic | |
302 Dulles Drive Suite 1 Lafayette LA 70506-3008 | |
(337) 262-5870 | |
(337) 262-1272 |
Full Name | Lafayette Addictive Disorders Clinic |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 302 Dulles Drive, Lafayette, Louisiana |
Authorized Official Name and Position | Joyce M Ben (OAD REGIONAL ADMINISTRATOR) |
Authorized Official Contact | 3372625870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lafayette Addictive Disorders Clinic 302 Dulles Drive Suite 1 Lafayette LA 70506-3008 Ph: (337) 262-5870 | Lafayette Addictive Disorders Clinic 302 Dulles Drive Suite 1 Lafayette LA 70506-3008 Ph: (337) 262-5870 |
NPI Number | 1750345799 |
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Provider Enumeration Date | 04/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750345799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 005 (Louisiana) | Primary |
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