Individual
LAKEISHA ROQUEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1411 S BENNETT AVE, TYLER, TX 75701-2506
(903) 535-7314
Mailing address
307 GATEWOOD DR, WHITEHOUSE, TX 75791-3323
(903) 941-3069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17046
TX
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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