Individual
SHELIA AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2285 BENTON RD STE D201, BOSSIER CITY, LA 71111-3469
(318) 518-6963
Mailing address
257 CATTAIL TRL, BENTON, LA 71006-9719
(318) 518-6969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3556
LA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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