person
Derrick Lamar Addison SR.
Mental Health Counselor in Shreveport, Louisiana
NPI 1093239352

Derrick Lamar Addison SR. is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Derrick Lamar Addison SR. practices in Shreveport, LA. The NPI Number for Derrick Lamar Addison SR. is 1093239352 and holds a License No. (Louisiana).

The current practice location address for Derrick Lamar Addison SR. is 9467 Milbank Dr, Shreveport, LA and can be reached out via phone at 318-655-6318.

Location: 9467 Milbank Dr, Shreveport, LA, 71101-4139
person
Provider Profile Details
NPI Number
1093239352
Provider Name
Derrick Lamar Addison SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
9467 Milbank Dr, Shreveport, LA, 71101-4139
Phone Number
318-655-6318
Fax Number
Provider Enumeration Date
07/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9467 Milbank Dr
City
State
Zip
71115-3868
Phone Number
318-655-6318
Fax Number
person
Provider Business Mailing Address Details
Address
9467 Milbank Dr
City
State
Zip
71115-3868
Phone Number
318-655-6318
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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