Individual
KAILEY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7020 KLUG PINES RD, SHREVEPORT, LA 71129-3300
(877) 887-7473
Mailing address
7020 KLUG PINES RD, SHREVEPORT, LA 71129-3300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
05/01/2025
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