Individual
KELLY LEE SKEESICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, NCC
Contact information
Practice address
865 OLIVE ST, SHREVEPORT, LA 71104-2136
(318) 226-0411
(318) 226-0462
Mailing address
865 OLIVE ST, SHREVEPORT, LA 71104-2136
(318) 226-0411
(318) 226-0462
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
862, 2978
LA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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