Individual provider · Type 1 NPI

Charmaine Landry, CAC, CCDP

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

NPI number 1730312968 Active

Practice location

3505 5th Ave Ste B
Lake Charles, LA 70607-2156

Call (337) 475-4855 Map

Mailing address

1361 Saddlewood Dr
Lake Charles, LA 70615-5350

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1033 (LA)
Addiction (Substance Use Disorder) Counselor 101YA0400X2026 (LA)

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

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About NPI 1730312968

Charmaine Landry, CAC, CCDP's National Provider Identifier is 1730312968, issued on Sep 4, 2009. 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 4, 2009.