EDWARD LYTLE BCSAC
Addiction Substance Use Disorder
Pineville, Louisiana
Provider NPI: 1518974872
Provider Information:EDWARD LYTLE BCSAC
Gender: M
Not Sole Proprietor
Practice Location:
401 RAINBOW DR UNIT 35 PINEVILLE, LA 71360 US
Tel: 318-487-5190 Fax: --
Business Mailing Address:
303 HOLIDAY CIR PINEVILLE, LA 71360 US
Tel: -- Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | LA | 988 |
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