Individual provider · Type 1 NPI

Lakeisha Roquemore, LCDC

Addiction (Substance Use Disorder) Counselor · Tyler, TX

NPI number 1033910799 Active

Practice location

1411 S Bennett Ave
Tyler, TX 75701-2506

Call (903) 535-7314 Map

Mailing address

307 Gatewood Dr
Whitehouse, TX 75791-3323

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17046 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033910799

Lakeisha Roquemore, LCDC's National Provider Identifier is 1033910799, issued on Mar 20, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tyler, TX. The record was last updated on Mar 20, 2025.