Individual
GINA MARIE CALDARERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
21089 S FRONTAGE RD, LACASSINE, LA 70650
(337) 391-5052
Mailing address
3704 COBBLESTONE DR, LAKE CHARLES, LA 70605-2571
(337) 802-2927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5078
LA
Other
Enumeration date
09/24/2024
Last updated
11/06/2024
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