Individual
MS. SONYA RENA KIMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
2036 WOODDALE BLVD, SUITE S, BATON ROUGE, LA 70806-1518
(225) 928-5842
(225) 928-9906
Mailing address
PO BOX 64843, BATON ROUGE, LA 70896-4843
(225) 928-5842
(225) 928-9906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
489
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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