Individual
KOURTENI HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 E 70TH ST STE A, SHREVEPORT, LA 71105-5363
(318) 227-4999
Mailing address
2100 E 70TH ST STE A, SHREVEPORT, LA 71105-5363
(318) 227-4999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7792
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/03/2018
Last updated
01/13/2023
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