Individual
JOHN WARREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10565 LIFEHOUSE ST, ST JAMES, LA 70086
(225) 349-8696
Mailing address
10508 N GLENSTONE PL, BATON ROUGE, LA 70810-2838
(225) 349-8696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5754
LA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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