Derrick Lamar Addison Sr, | |
9467 Milbank Dr, Shreveport, LA 71115-3868 | |
(318) 655-6318 | |
Not Available |
Full Name | Derrick Lamar Addison Sr |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 9467 Milbank Dr, Shreveport, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093239352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Derrick Lamar Addison Sr, 1717 Marshall St, Shreveport, LA 71101-4139 Ph: () - | Derrick Lamar Addison Sr, 9467 Milbank Dr, Shreveport, LA 71115-3868 Ph: (318) 655-6318 |
Michael Schroeder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
David J Aubrey, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2924 Knight St, Shreveport, LA 71105 Phone: 318-754-3560 Fax: 318-779-0439 | |
Brittany Barshee Myles-evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2520 Crestwood Dr, Shreveport, LA 71118 Phone: 318-868-3093 Fax: 318-868-3094 | |
Cordaro Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Wilton Pl, Shreveport, LA 71107 Phone: 318-470-8691 | |
Kenxaivius Giles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 W 70th St Apt 401, Shreveport, LA 71106 Phone: 318-517-8205 | |
Malvanese Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 College St, Shreveport, LA 71104 Phone: 318-658-6099 | |
Darre'll J Wallace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1711 Marshall St, Shreveport, LA 71101 Phone: 318-226-9944 Fax: 318-226-9942 |