Individual provider · Type 1 NPI

Mark Shane Anderson, RAC, CCDP, CCGC

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

NPI number 1184825705 Active

Practice location

4105 Kirkman St
Lake Charles, LA 70607-4603

Call (337) 475-8738 Map

Fax (337) 475-8054

Mailing address

811 Fall St
Lake Charles, LA 70601-8659

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2251 CIT (LA)

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

57 other providers at this address

Other addiction (substance use disorder) counselor providers in Lake Charles

See all in Lake Charles →

About NPI 1184825705

Mark Shane Anderson, RAC, CCDP, CCGC's National Provider Identifier is 1184825705, issued on May 30, 2007. 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 Sep 23, 2011.