Individual
LETINA LOVELESS O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2715 MACKEY PL STE 135, SHREVEPORT, LA 71118-2528
(318) 220-8423
Mailing address
2631 W COLLEGE ST, SHREVEPORT, LA 71103-3309
(318) 762-1881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811740931
—
LA
Enumeration date
06/22/2017
Last updated
06/22/2017
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