Individual
MRS. NORMA L WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
820 JORDAN ST, 509, SHREVEPORT, LA 71101-4518
(318) 221-0375
(318) 670-4001
Mailing address
820 JORDAN ST, 509, SHREVEPORT, LA 71101-4518
(318) 221-0375
(318) 670-4001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
614
LA
104100000X
Social Worker
Primary
LMSW6034
LA
171M00000X
Case Manager/Care Coordinator
614
LA
171M00000X
Case Manager/Care Coordinator
LMSW6034
LA
Other
Enumeration date
06/13/2011
Last updated
04/09/2024
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