Individual
MISS CHISA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2715 MACKEY PL STE 135, SHREVEPORT, LA 71118-2528
(318) 423-7963
Mailing address
2715 MACKEY PL STE 135, SHREVEPORT, LA 71118-2528
(318) 423-7963
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
10/30/2018
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