Individual
MICHELLE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 BETTY STREET, SHREVEPORT, LA 71108
(318) 865-2311
Mailing address
2605 BETTY STREET, SHREVEPORT, LA 71108
(318) 865-2311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
10/14/2016
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