Provider Demographics
NPI:1518393453
Name:CREADEUR, LESTER STEVE (LAC, CCGC)
Entity Type:Individual
Prefix:MR
First Name:LESTER
Middle Name:STEVE
Last Name:CREADEUR
Suffix:
Gender:M
Credentials:LAC, CCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 HYPOLITE MILLER RD
Mailing Address - Street 2:
Mailing Address - City:SUNSET
Mailing Address - State:LA
Mailing Address - Zip Code:70584-5660
Mailing Address - Country:US
Mailing Address - Phone:337-501-2144
Mailing Address - Fax:
Practice Address - Street 1:351 HYPOLITE MILLER RD
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:LA
Practice Address - Zip Code:70584-5660
Practice Address - Country:US
Practice Address - Phone:337-501-2144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA495101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)