person
Mr. Mark Shane Anderson, RAC,CCDP,CCGC
Addiction (Substance Use Disorder) Counselor in Lake Charles, Louisiana
NPI 1184825705

Mark Shane Anderson is an Addiction (Substance Use Disorder) Counselor based in Lake Charles, LA and is specialized in Addiction (Substance Use Disorder). Mark Shane Anderson practices in Lake Charles, LA and has the professional credentials of RAC,CCDP,CCGC. The NPI Number for Mark Shane Anderson is 1184825705 and holds a License No. 2251 CIT (Louisiana).

The current practice location address for Mark Shane Anderson is 4105 Kirkman St, Lake Charles, LA and can be reached out via phone at 337-475-8738 and via fax at 337-475-8054.

Location: 4105 Kirkman St, Lake Charles, LA, 70601-8659
person
Provider Profile Details
NPI Number
1184825705
Provider Name
Mark Shane Anderson
Credential
RAC,CCDP,CCGC
Provider Entity Type
Individual
Gender
Male
Address
4105 Kirkman St, Lake Charles, LA, 70601-8659
Phone Number
337-475-8738
Fax Number
337-475-8054
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4105 Kirkman St
City
State
Zip
70607-4603
Phone Number
337-475-8738
Fax Number
337-475-8054
person
Provider Business Mailing Address Details
Address
4105 Kirkman St
City
State
Zip
70607-4603
Phone Number
337-475-8738
Fax Number
337-475-8054
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2251 CIT (Louisiana)
Definition
Definition to come...
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