Individual
MRS. KRISTAL BUTLER POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 213-1860
(318) 213-1818
Mailing address
9434 CROOKED CREEK DR, SHREVEPORT, LA 71118-4155
(318) 332-2187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC6466
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417252230
VOLUNTEERS OF AMERICA NORTH LOUISIANA
LA
Enumeration date
10/04/2017
Last updated
06/30/2022
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