Individual
TROY ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
59335 RIVER WEST DR STE B, PLAQUEMINE, LA 70764-6553
(225) 385-4543
Mailing address
59335 RIVER WEST DR STE B, PLAQUEMINE, LA 70764-6553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
01/28/2016
Last updated
06/24/2022
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