BENJAMIN F VIRDEN

PINEVILLE, LA
NPI1508972100
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  L.A.C. # 753)
Enumeration Date2006-08-23
Last Update Date2010-05-13
Business Address
Mr. BENJAMIN F VIRDEN L.A.C.
401 RAINBOW DR UNIT 35
PINEVILLE, LA 71360-6979
Phone number: 318-487-5191
Mailing Address
Mr. BENJAMIN F VIRDEN L.A.C.
49 KENDALL LN
BOYCE, LA 71409-9708
Phone number: 318-793-0944
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