Individual
AMANDA SHOEMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 5TH AVE, LAKE CHARLES, LA 70601-7913
(337) 429-5672
Mailing address
2805 5TH AVE, LAKE CHARLES, LA 70601-7913
(337) 429-5672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
08/17/2023
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