Individual provider · Type 1 NPI

Diane Gail Fruge, RAC

Addiction (Substance Use Disorder) Counselor · Lake Charles, LA

NPI number 1114206760 Active

Practice location

4105 Kirkman St
Lake Charles, LA 70607-4603

Fax (337) 475-8054

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114206760

Diane Gail Fruge, RAC's National Provider Identifier is 1114206760, issued on Aug 15, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 15, 2011.