Individual
MS. SUSAN ANN SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC,LPC,CRC,CAP,NCC
Contact information
Practice address
106 HAMPTON RD, LAFAYETTE, LA 70503-3531
(337) 356-5486
Mailing address
106 HAMPTON RD, LAFAYETTE, LA 70503-3531
(337) 356-5486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4221
FL
101YM0800X
Mental Health Counselor
MH8882
FL
101YP2500X
Professional Counselor
Primary
4451
LA
225C00000X
Rehabilitation Counselor
47371
LA
Other
Enumeration date
05/06/2008
Last updated
12/03/2010
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