John Dick, CIT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Farmerville, LA
NPI 1336749233 · NPPES record last updated Oct 29, 2020
Key facts
- NPI
- 1336749233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CIT-5196 (LA)
- Practice address
- 201 W Bayou St
Farmerville, LA 71241-2707 - Phone
- (318) 243-3934
- NPI assigned
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CIT-5196 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intuitive Solutions Counseling & Recovery of Louisiana, LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Locations
330 E Vaughn Ave
Ruston, LA 71270
Phone (318) 224-7135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CIT-5196 | LA | Yes |
Addresses
Primary practice location
201 W Bayou St
Farmerville, LA 71241-2707
Mailing address
451 Henry Smith Rd
Bernice, LA 71222-5523
Phone (318) 243-3934
Other practice location 1
330 E Vaughn Ave
Ruston, LA 71270-5928
Phone (318) 243-3934
Other providers in Farmerville, LA
- Darbonne Therapeutic Group Home
- Darbonne Woods Charter School
- Darbonne Woods Charter School
- DH Express Transport LLC
- Megan Dibenedetto
- Kelly B Dodd
- Casundra Denise Downs
- Dva Renal Healthcare Inc
- Casey Scarborough Eckhardt
- Farmerville Drug Co Inc
All providers in Farmerville, LA · Addiction (Substance Use Disorder) Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.