Individual
LATANEIL TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10054
LA
Other
Enumeration date
10/17/2017
Last updated
07/31/2025
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