Diane Gail Fruge, RAC

NPI #1114206760 in Lake Charles, Louisiana

Provider Information

NPI Number
1114206760
Entity Type
Individual
Name
Diane Gail Fruge, RAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
RAC
Enumeration Date
Aug 15, 2011
Last Updated
Aug 15, 2011

Practice Location

Address
4105 KIRKMAN ST
ZIP Code
70607-4603
Phone
(337) 475-2088

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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