Individual
STEPHEN HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAC
Contact information
Practice address
150 CORA DR, BATON ROUGE, LA 70815-4201
(949) 485-0419
(225) 343-5300
Mailing address
18639 PERKINS RD LOT 23, PRAIRIEVILLE, LA 70769-3277
(949) 485-0419
(225) 343-5300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1481
LA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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