Individual provider · Type 1 NPI
Derrick Lamar Addison Sr.
Mental Health Counselor · Shreveport, LA
NPI number
1093239352
Active
Practice location
9467 Milbank Dr
Shreveport, LA 71115-3868
Mailing address
1717 Marshall St
Shreveport, LA 71101-4139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1093239352
Derrick Lamar Addison Sr.'s National Provider Identifier is 1093239352, issued on Jul 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jul 28, 2017.