Individual
MELISSA VALLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1838 S BROOKWOOD DR, SHREVEPORT, LA 71118-2740
(318) 460-0936
Mailing address
1838 S BROOKWOOD DR, SHREVEPORT, LA 71118-2740
(318) 460-0936
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7691
LA
101YM0800X
Mental Health Counselor
Primary
7691
LA
Other
Enumeration date
02/12/2019
Last updated
12/07/2023
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