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India Witherington
Addiction (Substance Use Disorder) Counselor in Ruston, Louisiana
NPI 1316352180

India Witherington is an Addiction (Substance Use Disorder) Counselor based in Bernice, LA and is specialized in Addiction (Substance Use Disorder). India Witherington practices in Ruston, LA. The NPI Number for India Witherington is 1316352180 and holds a License No. 3333 (Louisiana).

The current practice location address for India Witherington is 330 E Vaughn Ave, Ruston, LA and can be reached out via phone at 318-608-7538.

Location: 330 E Vaughn Ave, Ruston, LA, 71222-5523
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Provider Profile Details
NPI Number
1316352180
Provider Name
India Witherington
Credential
Provider Entity Type
Individual
Gender
Female
Address
330 E Vaughn Ave, Ruston, LA, 71222-5523
Phone Number
318-608-7538
Fax Number
Provider Enumeration Date
06/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1928756 05 LA
institution
Provider Business Practice Location Address Details
Address
330 E Vaughn Ave
City
State
Zip
71270-5928
Phone Number
318-608-7538
Fax Number
person
Provider Business Mailing Address Details
Address
330 E Vaughn Ave
City
State
Zip
71270-5928
Phone Number
318-608-7538
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3333 (Louisiana)
Definition
Definition to come...
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