Ardoin, Shannon

Ardoin, Shannon is an individual health care provider with primary practice located at 145 Victoria Dr , Lake Charles LA 70611-4641. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ardoin, Shannon can be contacted via phone (337) 855-9773.

Contact Information

Primary practice address
145 Victoria Dr Lake Charles LA 70611-4641
Phone: (337) 855-9773
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1790206449
LBN Legal business name Ardoin, Shannon
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2017
Last updated Mar 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790206449 NPPES
Louisiana Other 1378 ADRA
Louisiana Other 183 ADRA

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