Individual
MATTHEW JAMES SYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1639 RYAN ST, LAKE CHARLES, LA 70601-5948
(337) 602-6391
Mailing address
PO BOX 5826, LAKE CHARLES, LA 70606-5826
(504) 518-1400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/26/2024
Last updated
06/27/2024
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