Individual
JUANITA CARMELLA JONES FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5945
Mailing address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4578
LA
101YM0800X
Mental Health Counselor
4578
LA
101YP2500X
Professional Counselor
Primary
4578
LA
Other
Enumeration date
06/10/2005
Last updated
04/08/2026
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