Individual provider · Type 1 NPI

Jody Lowery Waldo, CIT

Addiction (Substance Use Disorder) Counselor · Shreveport, LA

NPI number 1043873631 Active

Practice location

2000 Fairfield Ave
Shreveport, LA 71104-2099

Fax (318) 222-3273

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4237 (LA)

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

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About NPI 1043873631

Jody Lowery Waldo, CIT's National Provider Identifier is 1043873631, issued on Apr 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shreveport, LA. The record was last updated on Apr 18, 2019.