Individual
JORDAN KALEB WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(318) 678-7527
Mailing address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(318) 678-7527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9192
LA
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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