Innis Addison
Innis Addison is a Mental Health Counselor in Shreveport, Louisiana. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
200 N Thomas Dr Ste 100Shreveport, LA 71107-6503
Phone: (318) 424-8345
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1477093060 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 1, 2017 |
| Last updated in NPPES | June 12, 2019 |
| Mailing address | 7607 Fern Ave Ste 902, Shreveport, LA 71105-5745 |
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