Organization
JEANNE SHAMBLIN CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE HEATH SHAMBLIN BCBA (OWNER)
(318) 625-5345
Entity
Organization
Contact information
Practice address
30 ROBIN HOOD RD, DRY PRONG, LA 71423-3548
(318) 625-5345
Mailing address
30 ROBIN HOOD RD, DRY PRONG, LA 71423-3548
(318) 625-5345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-112
STATE LICENSURE
LA
Enumeration date
05/23/2020
Last updated
05/23/2020
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