Individual
MR. MATTHEW IRA BENOIT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
100 POYDRAS ST, LAFAYETTE, LA 70501-4740
(337) 231-6365
(337) 231-6372
Mailing address
100 POYDRAS ST, LAFAYETTE, LA 70501-4740
(337) 231-6365
(337) 231-6372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3085
LA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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