Individual
CODY ROLAND DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
614 ESPLANADE ST, LAKE CHARLES, LA 70607-6308
(337) 478-1411
(337) 561-1489
Mailing address
3419 PINE DR, SULPHUR, LA 70663-0214
(337) 499-0170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6435
LA
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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