Individual
SHIRLEY ELIZABETH LOFTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63035 COMMERCIAL DRIVE, ROSELAND, LA 70456
(985) 748-8411
Mailing address
42092 MEADOW LN, PONCHATOULA, LA 70454-3062
(985) 969-1064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
652
LA
101YP2500X
Professional Counselor
Primary
652
LA
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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