Individual
MS. LAVERNE SENORA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3510 LINWOOD AVE, SHREVEPORT, LA 71103-4512
(318) 636-4194
(318) 636-4196
Mailing address
3510 LINWOOD AVE, SHREVEPORT, LA 71103-4512
(318) 636-4194
(318) 636-4196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6599
LA
Other
Enumeration date
04/10/2017
Last updated
02/28/2024
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