Individual
NAN MAGNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4001 SHEPHERD RD, SHREVEPORT, LA 71107-8211
(318) 470-9715
Mailing address
4001 SHEPHERD RD, SHREVEPORT, LA 71107-8211
(318) 470-9715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3403
LA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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