Individual
JANEICIA NICOLE MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Mailing address
751 MONDY RD, RUSTON, LA 71270-1307
(318) 600-1687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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