Individual
SHAQUANTA P REESE-MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
Mailing address
455 STUBBS MCCORMICK RD, MONROE, LA 71203-9411
(318) 450-2427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8072
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/31/2018
Last updated
06/21/2023
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