MR. Mark Shane Anderson, RAC, CCDP, CCGC
NPI #1184825705 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1184825705
- Entity Type
- Individual
- Name
- MR. Mark Shane Anderson, RAC, CCDP, CCGC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- RAC, CCDP, CCGC
- Enumeration Date
- May 30, 2007
- Last Updated
- Sep 23, 2011
Practice Location
- Address
- 4105 KIRKMAN ST
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70607-4603
- Phone
- (337) 475-8738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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