Individual
GLENZETTA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7611 SAINT VINCENT AVE, SHREVEPORT, LA 71106-4231
(318) 868-4552
Mailing address
P.O. BOX 29372, SH, LA 71149
(318) 670-8898
(318) 300-3772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6405
LA
Other
Enumeration date
12/01/2015
Last updated
03/08/2024
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