EDISON CALLOWAY

HOUMA, LA
NPI1699928226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  4009)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
Mr. EDISON CALLOWAY MS
521 LEGION AVE
HOUMA, LA 70364-3339
Phone number: 985-857-3612
Mailing Address
Mr. EDISON CALLOWAY MS
521 LEGION AVE
HOUMA, LA 70364-3339
Phone number: 985-857-3612