Individual
SHAUNDREKA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2392
(318) 787-7178
Mailing address
521 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2392
(318) 787-7178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/21/2015
Last updated
05/09/2019
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