Individual
DONNA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 W 79TH ST, SHREVEPORT, LA 71106
(318) 688-8190
(318) 688-8193
Mailing address
1651 SAN JACINTO ST, SHREVEPORT, LA 71109-2130
(318) 688-8190
(318) 688-8193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
08/27/2018
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