Individual
JERIEL HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CCTP, CGP.
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
(318) 862-3554
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
(318) 862-3554
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6018
LA
101YP2500X
Professional Counselor
C7201
OR
171M00000X
Case Manager/Care Coordinator
Primary
6018
LA
Other
Enumeration date
05/27/2021
Last updated
12/12/2024
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