Individual
KECHIA BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
653 W 70TH ST, SHREVEPORT, LA 71106-2949
(318) 636-8389
Mailing address
PO BOX 740012, ATLANTA, GA 30374-0012
(773) 352-1515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
9313
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/19/2017
Last updated
04/24/2026
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