Provider Demographics
NPI:1578873741
Name:VIDRINE REED, CINDY F (RAC)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:F
Last Name:VIDRINE REED
Suffix:
Gender:F
Credentials:RAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:LA
Mailing Address - Zip Code:71463-2742
Mailing Address - Country:US
Mailing Address - Phone:318-335-3578
Mailing Address - Fax:318-335-3753
Practice Address - Street 1:113 N 13TH ST
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:LA
Practice Address - Zip Code:71463-2742
Practice Address - Country:US
Practice Address - Phone:318-335-3578
Practice Address - Fax:318-335-3753
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA01311101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)