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KINGDOM SOURCE, LLC
Counselor
NPI: 1154698892Organization
Specialties, Licenses & Credentials
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
Contact & Hours
- Address
- 2506 JOHNSTON ST
LAFAYETTE, LA 70503 - Phone
- (337) 456-6166
Quick Facts
- NPI
- 1154698892
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 6
- Locations
- 1
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