Individual
CECELIA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
283 OLYMPIA DR, SHREVEPORT, LA 71106-7557
(972) 310-3109
Mailing address
283 OLYMPIA DR, SHREVEPORT, LA 71106-7557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC9764
LA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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