Individual provider · Type 1 NPI

Roderick Jermaine Lewis

Mental Health Counselor · Shreveport, LA

NPI number 1669992939 Active

Practice location

2915 Mackey Lane
Shreveport, LA 71118-0000

Call (318) 518-9002 Map

Mailing address

8533 Roitan Dr
Shreveport, LA 71106-5813

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669992939

Roderick Jermaine Lewis's National Provider Identifier is 1669992939, issued on Jun 27, 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 Jun 27, 2017.