TED ALLAN PRESTRIDGE

RAYVILLE, LA
NPI1588483176
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-10-09
Last Update Date2024-10-09
Business Address
TED ALLAN PRESTRIDGE
161 COMEAUX RD
RAYVILLE, LA 71269-7554
Phone number: 318-303-5500
Mailing Address
TED ALLAN PRESTRIDGE
161 COMEAUX RD
RAYVILLE, LA 71269-7554
Phone number: 318-516-0624