CHARLES SMITH

FORT POLK, LA
NPI1215035894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  641)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- CHARLES SMITH LPC, LAC
1585 3RD ST BJACH
FORT POLK, LA 71459-5102
Phone number: 337-531-1972
Mailing Address
-- CHARLES SMITH LPC, LAC
1585 3RD ST BJACH
FORT POLK, LA 71459-5102
Phone number: 337-531-3755
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