Individual
MRS. SHANTAE MESHELLE DURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5137
Mailing address
1310 N. HEARNE AVE, SHREVEPORT, LA 71107
(318) 676-5111
(318) 676-5137
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC1483
LA
Other
Enumeration date
06/28/2007
Last updated
07/21/2022
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