Individual
MRS. CHELSIE PALLETT LIEGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CI
Contact information
Practice address
725 JORDAN ST, SHREVEPORT, LA 71101-4615
(318) 221-1993
Mailing address
PO BOX 712, SHREVEPORT, LA 71162-0712
(318) 754-8904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI 5191
LA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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