Individual
MS. REGENIA SHEREE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 363-6002
Mailing address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 636-6002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1285093112
LA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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