Individual
JEREMY ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
146 LAWLIS RD, DERIDDER, LA 70634-5455
(373) 221-1274
Mailing address
146 LAWLIS RD, DERIDDER, LA 70634-5455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001110
—
LA
Enumeration date
08/30/2018
Last updated
03/18/2022
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