Hedrick, Traci Moss

Hedrick, Traci Moss is an individual health care provider with primary practice located at 4105 Kirkman St , Lake Charles LA 70607-4603. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hedrick, Traci Moss can be contacted via phone (337) 475-8022.

Contact Information

Primary practice address
4105 Kirkman St Lake Charles LA 70607-4603
Phone: (337) 475-8022
Fax: (337) 475-8054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LAC 1122 Louisiana

Profile Details

NPI number 1326249970
LBN Legal business name Hedrick, Traci Moss
Credentials LAC, CCDP, CCGC
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Dec 7th, 2011 - about 14 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.

Request for update

Popular Providers