Individual
BREENA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 KINGSTON CT, SHREVEPORT, LA 71118-4117
(318) 505-8856
Mailing address
812 KINGSTON CT, SHREVEPORT, LA 71118-4117
(318) 505-8856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10779
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/04/2024
Last updated
07/02/2025
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