person
Richard Lee Dantzler
Peer Specialist in Monroe, Louisiana
NPI 1679113997

Richard Lee Dantzler is a Peer Specialist based in Baton Rouge, LA. Richard Lee Dantzler practices in Monroe, LA. The NPI Number for Richard Lee Dantzler is 1679113997 and holds a License No. (Louisiana).

The current practice location address for Richard Lee Dantzler is 4310 S Grand St, Monroe, LA and can be reached out via phone at 318-789-9436. You can also correspond with Richard Lee Dantzler through the mailing address at 8326 KELWOOD AVE, BATON ROUGE, LA - 70806-4803 (mailing address contact number: ).

Location: 4310 S Grand St, Monroe, LA, 70806-4803
person
Provider Profile Details
NPI Number
1679113997
Provider Name
Richard Lee Dantzler
Credential
Provider Entity Type
Individual
Gender
Male
Address
4310 S Grand St, Monroe, LA, 70806-4803
Phone Number
318-789-9436
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4310 S Grand St
City
State
Zip
71202-6322
Phone Number
318-789-9436
Fax Number
person
Provider Business Mailing Address Details
Address
8326 Kelwood Ave
City
State
Zip
70806-4803
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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