Addison, Derrick Lamar

Addison, Derrick Lamar is an individual health care provider with primary practice located at 9467 Milbank Dr , Shreveport LA 71115-3868. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Addison, Derrick Lamar can be contacted via phone (318) 655-6318.

Contact Information

Primary practice address
9467 Milbank Dr Shreveport LA 71115-3868
Phone: (318) 655-6318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Louisiana

Profile Details

NPI number 1093239352
LBN Legal business name Addison, Derrick Lamar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2017
Last updated Jul 28th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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