Individual
BEVERLY SUE PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5944
Mailing address
6005 FINANCIAL PLZ, SHREVEPORT, LA 71129-2615
(318) 632-2040
(318) 632-2073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1024
LA
Other
Enumeration date
07/17/2007
Last updated
07/21/2022
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