Mr. Mark Shane Anderson, RAC, CCDP, CCGC
Mr. Mark Shane Anderson, RAC, CCDP, CCGC is an Addiction (Substance Use Disorder) Counselor in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
Practice location Address checks out
4105 Kirkman StLake Charles, LA 70607-4603
Phone: (337) 475-8738
Fax: (337) 475-8054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 2251 CIT (LA) |
|---|
Record details
| NPI number | 1184825705 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RAC , CCDP , CCGC |
| Sole proprietor | No |
| NPI enumerated | May 30, 2007 |
| Last updated in NPPES | September 23, 2011 |
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