Individual
SHARON HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 SERVICE RD B206, PINEVILLE, LA 71360
(318) 308-9468
Mailing address
5400 SERVICE RD B206, PINEVILLE, LA 71360
(318) 308-9468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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