Individual
CEDRIC WINSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 CASON AVE, BASTROP, LA 71220-5005
(318) 974-5025
Mailing address
123 CASON AVE, BASTROP, LA 71220-5005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5724
LA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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