Individual provider · Type 1 NPI
Shreeta Marie Joye Waldon, LCADC
Addiction (Substance Use Disorder) Counselor · Louisville, KY
NPI number
1295045904
Active
Practice location
3225 Poplar View Drive
Louisville, KY 40216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1084 (KY) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ADCLAD00224870 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295045904
Shreeta Marie Joye Waldon, LCADC's National Provider Identifier is 1295045904, issued on Oct 15, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Aug 11, 2022.