Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK SHANE ANDERSON, RAC, CCDP, CCGC
ActiveAddiction (Substance Use Disorder) Counselor · LAKE CHARLES, LA
Registration Details
- NPI Number
- 1184825705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2007 (18.896823686064 yrs)
- Last Updated
- Sep 23, 2011
- License
-
2251 CIT (LA)
Practice Information
- Address
-
4105 KIRKMAN STLAKE CHARLES, LA, 706074603Browse LA providers · Browse ZIP 70607
- Phone
- 3374758738
- Fax
- 3374758054
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LAKE CHARLES, LA
| Name | Credential | NPI |
|---|---|---|
| MARGARET MASCOLL | LAC, CCGC | 1467481390 |
| MS. MELANIE ELAINE LEJEUNE | LAC | 1023048527 |
| MS. MARI ALFIERI HARRIS | LAC | 1700818887 |
| SHERYL JOHNSON MEEK | LAC, CCS | 1366474488 |
| MRS. AMY ROSE FELICE | RAC | 1063613693 |
| MISS MILA THOMAS | CIT | 1083815625 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.