Individual
MR. CRAIG ENCALADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3015 HIGHWAY 956, ETHEL, LA 70730-4520
(225) 683-4144
Mailing address
3015 HIGHWAY 956, ETHEL, LA 70730-4520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5176
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5176
CIT
LA
05
—
5176
—
LA
Enumeration date
10/16/2020
Last updated
10/16/2020
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