Individual
MRS. MEGAN GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
707 SOUTHFIELD RD, SHREVEPORT, LA 71106-2219
(318) 869-1632
Mailing address
707 SOUTHFIELD RD, SHREVEPORT, LA 71106-2219
(318) 869-1632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5657
LA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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