Individual
SHALACEY BERTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
206 E REYNOLDS DR STE F2, RUSTON, LA 71270-2809
(318) 514-8893
Mailing address
101 S MAPLE ST, RUSTON, LA 71270-4119
(318) 514-8893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6888
LA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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