Jody Lowery Waldo, CIT

NPI #1043873631 in Shreveport, Louisiana

Provider Information

NPI Number
1043873631
Entity Type
Individual
Name
Jody Lowery Waldo, CIT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CIT
Enumeration Date
Apr 18, 2019
Last Updated
Apr 18, 2019

Practice Location

Address
2000 FAIRFIELD AVE
ZIP Code
71104-2099
Phone
(318) 222-8511

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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