Individual
JEAN MICHELLE FRONTERHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4167
Mailing address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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