Individual
LASHUN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 MAYFIELD ST, SHREVEPORT, LA 71109-8028
(318) 436-9717
Mailing address
3850 MAYFIELD ST, SHREVEPORT, LA 71109-8028
(318) 436-9717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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