Individual
SANDRA M CHRISTOPHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMSW
Contact information
Practice address
1617 BRANCH ST, ALEXANDRIA, LA 71301-4302
(318) 443-0189
(318) 767-1714
Mailing address
1617 BRANCH ST, ALEXANDRIA, LA 71301-4302
(318) 443-0189
(318) 767-1714
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2203783745
LA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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