MS. Mildred V Debarge, LAC

NPI #1154574796 in Lake Charles, Louisiana

Provider Information

NPI Number
1154574796
Entity Type
Individual
Name
MS. Mildred V Debarge, LAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAC
Enumeration Date
Oct 28, 2008
Last Updated
Oct 28, 2008

Practice Location

Address
1709 W PRIEN LAKE RD
ZIP Code
70601-8360
Phone
(337) 475-2557

Specialties & Taxonomy Codes

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

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