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Jeremy Wilson Theodore
Mental Health Counselor in Houma, Louisiana
NPI 1568959955

Jeremy Wilson Theodore is a Mental Health Counselor based in Houma, LA and is specialized in Mental Health. Jeremy Wilson Theodore practices in Houma, LA. The NPI Number for Jeremy Wilson Theodore is 1568959955 and holds a License No. (Louisiana).

The current practice location address for Jeremy Wilson Theodore is 1340 W Tunnel Blvd Ste 230, Houma, LA and can be reached out via phone at 504-314-1737.

Location: 1340 W Tunnel Blvd Ste 230, Houma, LA, 70360-2811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568959955
Provider Name
Jeremy Wilson Theodore
Credential
Provider Entity Type
Individual
Gender
Male
Address
1340 W Tunnel Blvd Ste 230, Houma, LA, 70360-2811
Phone Number
504-314-1737
Fax Number
Provider Enumeration Date
04/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1340 W Tunnel Blvd Ste 230
City
Houma
State
Louisiana
Zip
70360-2811
Phone Number
504-314-1737
Fax Number
person
Provider Business Mailing Address Details
Address
1340 W Tunnel Blvd Ste 230
City
Houma
State
Louisiana
Zip
70360-2811
Phone Number
504-314-1737
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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