Individual provider · Type 1 NPI

Jacoreon Lewis

Peer Specialist · Monroe, LA

NPI number 1881234011 Active

Practice location

4306 S Grand St
Monroe, LA 71202-6322

Call (913) 220-3153 Map

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1881234011

Jacoreon Lewis's National Provider Identifier is 1881234011, issued on Jan 15, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Monroe, LA. The record was last updated on Feb 3, 2020.