Individual
ADAM KENDALL VIDRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAC
Contact information
Practice address
1314 N LAFITTE RD, ABBEVILLE, LA 70510-3149
(337) 371-1166
Mailing address
1314 N LAFITTE RD, ABBEVILLE, LA 70510-3149
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4118
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5039
LA
Other
Enumeration date
03/01/2018
Last updated
08/10/2021
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