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Organization
ADDICTION SPECIALISTS
Active
Organization
ADDICTION SPECIALISTS
Active
Other names
Addiction Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY VIGER (CEO)
(504) 756-9242
Entity
Organization
Contact information
Practice address
4330 LOVELAND ST, METAIRIE, LA 70006-4176
(888) 488-5253
Mailing address
4330 LOVELAND ST, METAIRIE, LA 70006-4176
(888) 488-5253
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PHYSICIAN GROUP SPECIALITY
LA
05
—
PENDING
—
LA
Enumeration date
11/11/2021
Last updated
11/11/2021
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