| Mr Shannon Thadio Wilson, | |
|
3600 Government St, Alexandria, LA 71302-3324 | |
| (318) 441-1105 | |
| Not Available |
| Full Name | Mr Shannon Thadio Wilson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3600 Government St, Alexandria, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184172330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4210 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shannon Thadio Wilson, 3600 Government St, Alexandria, LA 71302-3324 Ph: (318) 441-1105 | Mr Shannon Thadio Wilson, 3600 Government St, Alexandria, LA 71302-3324 Ph: (318) 441-1105 |
Dr. Cindy Escandell, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6016 Navaho Trl, Alexandria, LA 71301 Phone: 318-451-1110 Fax: 318-448-9088 | |
Kenya Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1403 Metro Dr Ste G, Alexandria, LA 71301 Phone: 318-445-9019 Fax: 318-445-1098 | |
Laura Neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Versailles Blvd, Alexandria, LA 71303 Phone: 318-449-4474 | |
Mr. Jason Asa Goens, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4606 Lee St, Alexandria, LA 71302 Phone: 318-664-8293 | |
Shane Bolton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1450 Peterman Dr Ste A, Alexandria, LA 71301 Phone: 318-473-4328 | |
Roshonda Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Jackson St Ste 111b, Alexandria, LA 71303 Phone: 318-483-4155 | |
April M Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4606 Lee St, Alexandria, LA 71302 Phone: 318-441-1105 |