Individual
MISS ALBERTHA J ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-8022
(337) 475-8054
Mailing address
1851 FOX RUN DR APT 1, LAKE CHARLES, LA 70605-6421
(337) 794-7237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1293
LA
Other
Enumeration date
03/24/2008
Last updated
08/04/2022
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