Individual
MS. KIMBERLY SUE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511
Mailing address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5603
LA
Other
Enumeration date
10/10/2017
Last updated
01/03/2023
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