Individual
THERESE DIANE SCHAFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LPC-S, NCC
Contact information
Practice address
3821 SOUTHERN AVE, SHREVEPORT, LA 71106-1033
(318) 946-8157
(318) 216-5868
Mailing address
1520 ROSS RD, HAUGHTON, LA 71037-8288
(318) 210-1539
(318) 584-7133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1454
LA
101YP2500X
Professional Counselor
4907
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353458
—
LA
Enumeration date
06/27/2012
Last updated
02/04/2023
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