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Individual

STEVEN HADNOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9017 MITCHAM ST, SHREVEPORT, LA 71106-7983
(318) 562-3951
Mailing address
9017 MITCHAM ST, SHREVEPORT, LA 71106-7983
(318) 562-3951

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LA
343900000X
Non-emergency Medical Transport (VAN)
007416367
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
474716450
FEDERAL TAX ID
LA
Enumeration date
12/01/2015
Last updated
11/19/2020
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