Individual
MACIE MORRIS MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC, NCC
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC10161
LA
Other
Enumeration date
11/18/2021
Last updated
06/06/2024
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