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Individual

BENITA CYPHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAC

Contact information

Practice address
1313 RINGGOLD AVENUE, CAUSHATTA, LA 71019-1016
(318) 932-4029
(318) 932-5914
Mailing address
1313 RINGGOLD AVENUE, CAUSHATTA, LA 71019-1016
(318) 932-4029
(318) 932-5914

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LA
101YM0800X
Mental Health Counselor
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710687
LA
Enumeration date
10/04/2011
Last updated
10/04/2011
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