Individual provider · Type 1 NPI

Roger D. Bennett I, L.A.C.

Addiction (Substance Use Disorder) Counselor · Alexandria, LA

NPI number 1285716704 Active

Practice location

2495 Shreveport Hwy
Alexandria, LA 71306-9004

Fax (318) 483-5176

Mailing address

PO Box 69004
Alexandria, LA 71306-9004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X635 (LA)

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

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About NPI 1285716704

Roger D. Bennett I, L.A.C.'s National Provider Identifier is 1285716704, issued on Oct 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Alexandria, LA. The record was last updated on Jul 8, 2007.