Individual
MRS. SHANNON N PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC, LCMHC
Contact information
Practice address
4035 WASHINGTON AVE, NEW ORLEANS, LA 70125-2935
(504) 358-5408
Mailing address
301 W COLORADO ST, HAMMOND, LA 70401-2505
(198) 563-0748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PLC9324
LA
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
PLC9324
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/14/2022
Last updated
12/16/2022
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