Individual
JOASETTA BIRDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5902 BUNCOMBE RD, SHREVEPORT, LA 71129-4004
(318) 670-8898
Mailing address
5902 BUNCOMBE ROAD, SHREVEPORT, LA 71129-4434
(318) 670-8898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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