Individual
MS. SHELBY ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC, MT-BC
Contact information
Practice address
316B GIROD ST, MANDEVILLE, LA 70448-5813
(844) 336-0821
Mailing address
316B GIROD ST, MANDEVILLE, LA 70448-5813
(844) 336-0821
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5990
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1584
LA
Other
Enumeration date
04/18/2017
Last updated
04/08/2021
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