Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jody Lowery Waldo, CIT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043873631

Jody Lowery Waldo, CIT is an Addiction (Substance Use Disorder) Counselor in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2019.

Licensed in
LA
In the registry since
2019

Practice location Address checks out

2000 Fairfield Ave
Shreveport, LA 71104-2099
Phone: (318) 222-8511
Fax: (318) 222-3273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 4237 (LA)

Record details

NPI number1043873631
Entity typeIndividual (Type 1)
GenderFemale
Credentials CIT
Sole proprietorNo
NPI enumeratedApril 18, 2019
Last updated in NPPESApril 18, 2019

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