Individual
MRS. SHANTRAY LENAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
325 WOODALE DR APT 74, MONROE, LA 71203-2798
(318) 503-9214
Mailing address
325 WOODALE DR APT 74, MONROE, LA 71203-2798
(318) 503-9214
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5058
LA
Other
Enumeration date
02/08/2021
Last updated
10/04/2024
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