Jeremy Wilson Theodore
Jeremy Wilson Theodore is a Mental Health Counselor in Houma, Louisiana. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1340 W Tunnel Blvd Ste 230Houma, LA 70360-2811
Phone: (504) 314-1737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1568959955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 20, 2018 |
| Last updated in NPPES | April 20, 2018 |
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