Individual
SAMANTHA ANNE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
670 ALBEMARLE DR STE 1403, SHREVEPORT, LA 71106-5945
(318) 327-8404
(318) 656-3208
Mailing address
670 ALBEMARLE DR STE 1403, SHREVEPORT, LA 71106-5945
(318) 327-8404
(318) 656-3208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9474
LA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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