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Individual

STEPHANIE MCCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
2620 CENTENARY BLVD STE 312, SHREVEPORT, LA 71104-3358
(318) 681-9935
Mailing address
PO BOX 29372, SUITE 135, SHREVEPORT, LA 71149-9372
(318) 670-8898

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LA
101YP2500X
Professional Counselor
Primary
8559
LA
101YS0200X
School Counselor
AN549645
LA
171M00000X
Case Manager/Care Coordinator
LA

Other

Enumeration date
02/11/2016
Last updated
10/29/2025
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