Individual provider · Type 1 NPI
Andre Deshong, LCDC
Addiction (Substance Use Disorder) Counselor · Tyler, TX
NPI number
1467683078
Active
Practice location
3800 Paluxy Dr Ste 405
Tyler, TX 75703-1662
Fax (903) 565-6087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10930 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467683078
Andre Deshong, LCDC's National Provider Identifier is 1467683078, issued on Jul 30, 2009. 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 14, 2023.