Tracy Jerome Anderson
Tracy Jerome Anderson is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
543 Stoner AveShreveport, LA 71101-4122
Phone: (318) 673-9901
Fax: (318) 673-9904
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1962914424 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2017 |
| Last updated in NPPES | October 24, 2017 |
| Mailing address | 8526 Elmview Pl, Shreveport, LA 71108-5704 |
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