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Jacoreon Lewis
Peer Specialist in Monroe, Louisiana
NPI 1881234011

Jacoreon Lewis is a Peer Specialist based in Baton Rouge, LA. Jacoreon Lewis practices in Monroe, LA. The NPI Number for Jacoreon Lewis is 1881234011 and holds a License No. (Louisiana).

The current practice location address for Jacoreon Lewis is 4306 S Grand St, Monroe, LA and can be reached out via phone at 913-220-3153. You can also correspond with Jacoreon Lewis through the mailing address at 8326 KELWOOD AVE, BATON ROUGE, LA - 70806 (mailing address contact number: 913-220-3153).

Location: 4306 S Grand St, Monroe, LA, 70806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881234011
Provider Name
Jacoreon Lewis
Credential
Provider Entity Type
Individual
Gender
Female
Address
4306 S Grand St, Monroe, LA, 70806
Phone Number
913-220-3153
Fax Number
Provider Enumeration Date
01/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4306 S Grand St
City
Monroe
State
Louisiana
Zip
71202-6322
Phone Number
913-220-3153
Fax Number
person
Provider Business Mailing Address Details
Address
8326 Kelwood Ave
City
Baton Rouge
State
Louisiana
Zip
70806
Phone Number
913-220-3153
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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