Individual provider · Type 1 NPI

Jacinda Malveaux, LAC

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

NPI number 1356797401 Active

Practice location

2829 4th Ave
Lake Charles, LA 70601-7887

Mailing address

2829 4th Ave Ste 200
Lake Charles, LA 70601-7834

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1095 (KS)

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

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About NPI 1356797401

Jacinda Malveaux, LAC's National Provider Identifier is 1356797401, issued on May 9, 2016. 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 May 10, 2016.