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NPI Code Detail

MEDICARE: VALISSIA NICOLE LAWSON-CALHOUN

MEDICARE: VALISSIA NICOLE LAWSON-CALHOUN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1760327779
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALISSIA NICOLE LAWSON-CALHOUN
Provider Business Mailing Address
First Line : 1301 YOUREE DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-5117
Country : US
Telephone Number : 866-947-5326
Fax Number :
Provider Business Practice Location Address
First Line : 1301 YOUREE DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-5117
Country : US
Telephone Number : 866-947-5326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ VALISSIA NICOLE LAWSON-CALHOUN ” Practice Location

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