Individual provider · Type 1 NPI
William Rose, LAC
Addiction (Substance Use Disorder) Counselor · Shreveport, LA
NPI number
1306316088
Active
Practice location
2000 Fairfield Avenue
Shreveport, LA 71104
Fax (318) 222-3273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 595 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1306316088
William Rose, LAC's National Provider Identifier is 1306316088, issued on Nov 26, 2018. 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 Nov 26, 2018.