Individual provider · Type 1 NPI

Mildred V. Debarge, LAC

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

NPI number 1154574796 Active

Practice location

1709 W Prien Lake Rd
Lake Charles, LA 70601-8360

Fax (337) 266-5157

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X350 (LA)

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

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About NPI 1154574796

Mildred V. Debarge, LAC's National Provider Identifier is 1154574796, issued on Oct 28, 2008. 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 Oct 28, 2008.