Albertha J Adcock, CAC
Counselor, Addiction (Substance Use Disorder) in Lake Charles, LA. Individual provider (NPI-1).
NPI number1184896763
StatusActive
Last updated in NPPESAug 4, 2022
Details
- NPI
- 1184896763
- Entity type
- Individual (NPI-1)
- Name
- Miss Albertha J Adcock
- Credential
- CAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2008
- Certification date
- Aug 4, 2022
- Last updated
- Aug 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1293 | LA | Yes |
Practice location
4105 Kirkman StLake Charles, LA 70607-4603
Phone 337-475-8022 · Fax 337-475-8054
Mailing address
1851 Fox Run Dr Apt 1Lake Charles, LA 70605-6421
Phone 337-794-7237
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