Charles Smith, LPC, LAC

NPI #1215035894 in Fort Polk, Louisiana

Provider Information

NPI Number
1215035894
Entity Type
Individual
Name
Charles Smith, LPC, LAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LPC, LAC
Enumeration Date
Sep 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1585 3RD ST
Address 2
BJACH
ZIP Code
71459-5102
Phone
(337) 531-1972

Specialties & Taxonomy Codes

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

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