Individual
MRS. LA SHAUNA OWENS MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
210 MEDICAL DR, NATCHITOCHES, LA 71457-6052
(318) 357-3122
Mailing address
210 MEDICAL DR, NATCHITOCHES, LA 71457-6052
(318) 676-5643
(318) 676-5944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7533
LA
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7533
LPC LICENSE #
LA
Enumeration date
12/05/2012
Last updated
02/16/2023
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