person
Charles Smith, LPC,LAC
Addiction (Substance Use Disorder) Counselor in Fort Polk, Louisiana
NPI 1215035894

Charles Smith is an Addiction (Substance Use Disorder) Counselor based in Fort Polk, LA and is specialized in Addiction (Substance Use Disorder). Charles Smith practices in Fort Polk, LA and has the professional credentials of LPC,LAC. The NPI Number for Charles Smith is 1215035894 and holds a License No. 641 (Louisiana).

The current practice location address for Charles Smith is 1585 3Rd St, Fort Polk, LA and can be reached out via phone at 337-531-1972.

Location: 1585 3Rd St, Fort Polk, LA, 71459-5102
person
Provider Profile Details
NPI Number
1215035894
Provider Name
Charles Smith
Credential
LPC,LAC
Provider Entity Type
Individual
Gender
Male
Address
1585 3Rd St, Fort Polk, LA, 71459-5102
Phone Number
337-531-1972
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
641 01 LA LAC
1863 01 LA LPC
institution
Provider Business Practice Location Address Details
Address
1585 3Rd St
City
State
Zip
71459-5102
Phone Number
337-531-1972
Fax Number
person
Provider Business Mailing Address Details
Address
1585 3Rd St
City
State
Zip
71459-5102
Phone Number
337-531-1972
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
641 (Louisiana)
Definition
Definition to come...
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