Individual
KENNA J LATIOLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511
(318) 425-9670
Mailing address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511
(318) 425-9670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
685
LA
Other
Enumeration date
03/22/2021
Last updated
09/23/2025
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