Individual
WAYMON GLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAC
Contact information
Practice address
5159 HIGHWAY 4 E, COLUMBIA, LA 71418-3580
(318) 649-3625
(318) 649-5731
Mailing address
5159 HIGHWAY 4 E, COLUMBIA, LA 71418-3580
(318) 649-3625
(318) 649-5731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RAC# 1371
LA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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