Individual
SHANNA DANIELLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC, CCS,CCGC
Contact information
Practice address
17492 AVALON TER, HAMMOND, LA 70403-6455
(318) 715-5292
Mailing address
3180 CONVENTION ST STE B, BATON ROUGE, LA 70806-3711
(225) 831-1480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAC1229
LA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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