Individual
MR. RONALD WAYON HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS. LAC, AADC, CCS
Contact information
Practice address
100 POYDRAS ST, LAFAYETTE, LA 70501-4740
(337) 231-6365
Mailing address
100 POYDRAS ST, LAFAYETTE, LA 70501-4740
(337) 231-6365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
311
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311
ADRA
LA
Enumeration date
11/25/2015
Last updated
11/25/2015
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