Individual
SHAMIJAH GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
343 N WASHINGTON ST, BASTROP, LA 71220-3849
(318) 974-5075
Mailing address
343 N WASHINGTON ST, BASTROP, LA 71220-3849
(318) 974-5075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2203784997
LA
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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