Individual
KANESHA LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.E. LPC
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107
(318) 675-5131
Mailing address
P.O. BOX 29372, SHREVEPORT, LA 71149
(318) 670-8898
(318) 300-3772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6292
LA
Other
Enumeration date
12/01/2015
Last updated
07/05/2018
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