Individual
MS. TERRI GREEN-ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LAC
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5126
Mailing address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1075
LA
1041C0700X
Clinical Social Worker
Primary
4833
LA
Other
Enumeration date
07/03/2006
Last updated
06/16/2018
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