Derrick Lamar Addison Sr.
Derrick Lamar Addison Sr. is a Mental Health Counselor in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2017.
- Licensed in
- LA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
9467 Milbank DrShreveport, LA 71115-3868
Phone: (318) 655-6318
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (LA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1093239352 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 28, 2017 |
| Last updated in NPPES | July 28, 2017 |
| Mailing address | 1717 Marshall St, Shreveport, LA 71101-4139 |
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