| Mr Kelvin Martin Smith, CIT | |
|
21089 South Frontage Road, Lacassine, LA 70650 | |
| (337) 936-9197 | |
| (337) 588-4179 |
| Full Name | Mr Kelvin Martin Smith |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 21089 South Frontage Road, Lacassine, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841853306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4238 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kelvin Martin Smith, CIT 105 Rebecca Dr, Lafayette, LA 70508-5965 Ph: (337) 661-4245 | Mr Kelvin Martin Smith, CIT 21089 South Frontage Road, Lacassine, LA 70650 Ph: (337) 936-9197 |
Gina Marie Caldarera, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21089 S Frontage Rd, Lacassine, LA 70650 Phone: 337-391-5052 | |
James Fitzgerald Mills, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 21089 South Frontage Rd, Lacassine, LA 70650 Phone: 337-936-9197 Fax: 337-855-1829 | |
Sabrina Kay Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21089 South Frontage Road, Lacassine, LA 70650 Phone: 337-588-4166 |