Individual
SHANNON ELISE ROSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 E COLEMAN AVE, SUITE 106, HAMMOND, LA 70403-4298
(225) 892-0857
Mailing address
110 E COLEMAN AVE, SUITE 106, HAMMOND, LA 70403-4298
(225) 892-0857
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4389
LA
101YM0800X
Mental Health Counselor
4389
LA
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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