Andre Deshong, LCDC
Counselor, Addiction (Substance Use Disorder) in Tyler, TX. Individual provider (NPI-1).
NPI number1467683078
StatusActive
Last updated in NPPESMar 14, 2023
Details
- NPI
- 1467683078
- Entity type
- Individual (NPI-1)
- Name
- Andre Deshong
- Credential
- LCDC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2009
- Certification date
- Mar 14, 2023
- Last updated
- Mar 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 10930 | TX | Yes |
Practice location
3800 Paluxy Dr Ste 405Tyler, TX 75703-1662
Phone 903-253-6531 · Fax 903-565-6087
Mailing address
3800 Paluxy Dr Ste 405Tyler, TX 75703-1662
Phone 903-253-6531 · Fax 903-535-7386
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All 46 Addiction (Substance Use Disorder) Counselor providers in Tyler · All 6,843 providers in Tyler
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