Individual
SHAKEISHA MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22141 SOUTH RIDGE DR., PONCHATOULA, LA 70454
(985) 687-5042
Mailing address
22141 SOUTH RIDGE DR, PONCHATOULA, LA 70454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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