Individual
SHANNON CARAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
917 GENERAL MOUTON AVE, LAFAYETTE, LA 70501-8511
(337) 232-9457
(337) 232-9459
Mailing address
917 GENERAL MOUTON AVE, LAFAYETTE, LA 70501-8511
(337) 232-9457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7126
LA
Other
Enumeration date
09/24/2014
Last updated
01/26/2018
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