Individual
MR. DEDRIC WEST SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
411 S BROAD ST, NEW ORLEANS, LA 70119-7410
(504) 827-2928
Mailing address
411 S BROAD ST, NEW ORLEANS, LA 70119-7410
(504) 827-2928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3400
LA
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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