Individual
MR. ARLO LAURENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1639 RYAN ST, LAKE CHARLES, LA 70601-5948
(337) 602-6391
Mailing address
1639 RYAN ST, LAKE CHARLES, LA 70601-5948
(337) 602-6391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3460
LA
171M00000X
Case Manager/Care Coordinator
Primary
1618
LA
Other
Enumeration date
06/02/2016
Last updated
10/01/2019
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