Individual
NATASHA NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 YOUREE DR, SHREVEPORT, LA 71104-3671
(318) 675-0805
Mailing address
2615 KEMP LN, SHREVEPORT, LA 71107-6022
(512) 569-2468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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