Individual
MISS CAROLE MICHELE FAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
8500 JACKSON SQUARE BLVD APT 6B, SHREVEPORT, LA 71115-2732
(318) 798-6031
(318) 678-6425
Mailing address
8500 JACKSON SQUARE BLVD APT 6B, SHREVEPORT, LA 71115-2732
(318) 798-6031
(318) 678-6425
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2707
LA
106H00000X
Marriage & Family Therapist
658
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2707
LPC
LA
01
—
658
LMFT
LA
Enumeration date
10/21/2008
Last updated
10/21/2008
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