Individual
RICHARD KELL MUNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
12080 MARSTON ST, CLINTON, LA 70722-3217
(225) 683-8551
(225) 683-3788
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-4282
(225) 925-1987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1326
LA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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