person
Jody Lowery Waldo, CIT
Addiction (Substance Use Disorder) Counselor in Shreveport, Louisiana
NPI 1043873631

Jody Lowery Waldo is an Addiction (Substance Use Disorder) Counselor based in Shreveport, LA and is specialized in Addiction (Substance Use Disorder). Jody Lowery Waldo practices in Shreveport, LA and has the professional credentials of CIT. The NPI Number for Jody Lowery Waldo is 1043873631 and holds a License No. 4237 (Louisiana).

The current practice location address for Jody Lowery Waldo is 2000 Fairfield Ave, Shreveport, LA and can be reached out via phone at 318-222-8511 and via fax at 318-222-3273.

Location: 2000 Fairfield Ave, Shreveport, LA, 71104-2099
person
Provider Profile Details
NPI Number
1043873631
Provider Name
Jody Lowery Waldo
Credential
CIT
Provider Entity Type
Individual
Gender
Female
Address
2000 Fairfield Ave, Shreveport, LA, 71104-2099
Phone Number
318-222-8511
Fax Number
318-222-3273
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 Fairfield Ave
City
State
Zip
71104-2099
Phone Number
318-222-8511
Fax Number
318-222-3273
person
Provider Business Mailing Address Details
Address
2000 Fairfield Ave
City
State
Zip
71104-2099
Phone Number
318-222-8511
Fax Number
318-222-3273
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4237 (Louisiana)
Definition
Definition to come...
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