Individual
MICHELLE CUMMINGS-SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
610 HENDRIX PL, SHREVEPORT, LA 71106
(318) 780-5616
Mailing address
610 HENDRIX PL, SHREVEPORT, LA 71106-5131
(318) 780-5616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
A 443558
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/29/2016
Last updated
07/11/2019
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