Individual
LISA MALHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3341 YOUREE DR STE 101, SHREVEPORT, LA 71105-2125
(318) 219-4167
(318) 219-4834
Mailing address
3341 YOUREE DR STE 101, SHREVEPORT, LA 71105-2125
(318) 219-4167
(318) 219-4834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4640
LA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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