Individual provider · Type 1 NPI

Jennifer Northern, CIT

Addiction (Substance Use Disorder) Counselor · Bossier City, LA

NPI number 1679171300 Active

Practice location

2285 Benton Rd Ste D103
Bossier City, LA 71111-3465

Fax (318) 584-7080

Mailing address

8911 Youree Dr
Shreveport, LA 71115-3007

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCIT-5386 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679171300

Jennifer Northern, CIT's National Provider Identifier is 1679171300, issued on Oct 14, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bossier City, LA. The record was last updated on Dec 9, 2021.