Individual
MRS. PENNY LOUISE MILLHOLLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
820 JORDAN ST STE 570, SHREVEPORT, LA 71101-4512
(318) 221-4455
(318) 221-4459
Mailing address
272 HANGING MOSS TRL, SHREVEPORT, LA 71106-7621
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
987
LA
Other
Enumeration date
07/05/2007
Last updated
11/16/2020
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