Individual
MR. ANDREW ANTHONY COMEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
2625 LINE AVE, SUITE 106, SHREVEPORT, LA 71104-3047
(318) 560-3458
(318) 554-0294
Mailing address
3602 GILBERT DR, SHREVEPORT, LA 71104-5002
(318) 560-3458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0189
LA
1041C0700X
Clinical Social Worker
4679
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163538
—
LA
01
—
275218
TRICARE
LA
Enumeration date
07/03/2006
Last updated
09/11/2025
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