Individual
SHANNON WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
613 NATIONAL AVE, TERRYTOWN, LA 70056-2907
(504) 606-7416
Mailing address
613 NATIONAL AVE, TERRYTOWN, LA 70056-2907
(504) 606-7416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7511
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
7511
LA
101YM0800X
Mental Health Counselor
7511
LA
101YP2500X
Professional Counselor
7511
LA
102L00000X
Psychoanalyst
7511
LA
103K00000X
Behavior Analyst
7511
LA
104100000X
Social Worker
Primary
7511
LA
1041S0200X
School Social Worker
7511
LA
106H00000X
Marriage & Family Therapist
7511
LA
106S00000X
Behavior Technician
7511
LA
171000000X
Military Health Care Provider
7511
LA
171M00000X
Case Manager/Care Coordinator
7511
LA
174H00000X
Health Educator
7511
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
7511
LA
Other
Enumeration date
10/14/2020
Last updated
02/02/2021
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