person
Mr. Roger D Bennett I, LAC
Addiction (Substance Use Disorder) Counselor in Alexandria, Louisiana
NPI 1285716704

Roger D Bennett I is an Addiction (Substance Use Disorder) Counselor based in Alexandria, LA and is specialized in Addiction (Substance Use Disorder). Roger D Bennett I practices in Alexandria, LA and has the professional credentials of LAC. The NPI Number for Roger D Bennett I is 1285716704 and holds a License No. 635 (Louisiana).

The current practice location address for Roger D Bennett I is 2495 Shreveport Hwy, Alexandria, LA and can be reached out via phone at 318-473-0010 and via fax at 318-483-5176. You can also correspond with Roger D Bennett I through the mailing address at PO BOX 69004, ALEXANDRIA, LA - 71306-9004 (mailing address contact number: 318-473-0010).

Location: 2495 Shreveport Hwy, Alexandria, LA, 71306-9004
person
Provider Profile Details
NPI Number
1285716704
Provider Name
Roger D Bennett I
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
2495 Shreveport Hwy, Alexandria, LA, 71306-9004
Phone Number
318-473-0010
Fax Number
318-483-5176
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3499 01 MA ADDICTION SPECALIST
635 01 LA LICENSEADICTIONCOUNSELOR
institution
Provider Business Practice Location Address Details
Address
2495 Shreveport Hwy
City
State
Zip
71306-9004
Phone Number
318-473-0010
Fax Number
318-483-5176
person
Provider Business Mailing Address Details
Address
Po Box 69004
City
State
Zip
71306-9004
Phone Number
318-473-0010
Fax Number
318-483-5176
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
635 (Louisiana)
Definition
Definition to come...
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