Organization
MONROE ADDICTIVE DISORDERS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY LEWIS (CLINIC SUPERVISOR)
(318) 362-5188
Entity
Organization
Contact information
Practice address
3200 CONCORDIA AVE, MONROE, LA 71201-5113
(318) 362-5188
Mailing address
3200 CONCORDIA AVE, MONROE, LA 71201-5113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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