Individual
JEREMY LINDSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3821 SOUTHERN AVE, SHREVEPORT, LA 71106-1033
(318) 946-8157
Mailing address
3821 SOUTHERN AVE, SHREVEPORT, LA 71106-1033
(318) 946-8157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC6051
LA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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