Individual
COURTNEY FREDIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3004 KNIGHT ST STE 149, SHREVEPORT, LA 71105-2502
(318) 517-4736
Mailing address
3004 KNIGHT ST STE 149, SHREVEPORT, LA 71105-2502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC10907
LA
101YM0800X
Mental Health Counselor
PLC10907
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
03/12/2026
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