Provider Demographics
NPI:1720349111
Name:CADOR, CHESTER L (MED, NCC, LAC, LPC)
Entity Type:Individual
Prefix:
First Name:CHESTER
Middle Name:L
Last Name:CADOR
Suffix:
Gender:M
Credentials:MED, NCC, LAC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6554 FLORIDA BLVD
Mailing Address - Street 2:SUITE 238
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4474
Mailing Address - Country:US
Mailing Address - Phone:225-456-2204
Mailing Address - Fax:225-456-2205
Practice Address - Street 1:6554 FLORIDA BLVD
Practice Address - Street 2:SUITE 238
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4474
Practice Address - Country:US
Practice Address - Phone:225-456-2204
Practice Address - Fax:225-456-2205
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-02
Last Update Date:2012-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA957101YA0400X
LA3805101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)