Individual
MARK WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2706 HODGES ST, LAKE CHARLES, LA 70601-7366
(337) 491-1740
Mailing address
2706 HODGES ST, LAKE CHARLES, LA 70601-7366
(337) 491-1740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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