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KINGDOM SOURCE, LLC

Counselor

NPI: 1154698892Organization

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Counselor — Mental Health

Code: 101YM0800X

Counselor — Pastoral

Code: 101YP1600X

Counselor — Professional

Code: 101YP2500X

Social Worker

Code: 104100000X

CounselorPrimary

Counselor

Code: 101Y00000X

Contact & Hours

Address
2506 JOHNSTON ST
LAFAYETTE, LA 70503

Quick Facts

NPI
1154698892
Entity Type
Organization
Medicare
Not confirmed
Specialties
6
Locations
1

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