Individual
TERRI WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1645 JUNIPER DR, SHREVEPORT, LA 71118-2213
(318) 840-1500
Mailing address
1645 JUNIPER DR, SHREVEPORT, LA 71118-2213
(318) 840-1500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
313-101Y50X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313-101Y50X
PROFESSIONAL
LA
Enumeration date
04/29/2016
Last updated
04/29/2016
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