Individual
MRS. MONA MURIEL QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
1002 HIGHLAND AVE, SUITE 300, SHREVEPORT, LA 71101-4143
(318) 364-7054
(318) 742-0763
Mailing address
1002 HIGHLAND AVE, SUITE 300, SHREVEPORT, LA 71101-4143
(318) 364-7054
(318) 742-0763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3513
LA
101YP2500X
Professional Counselor
3513
LA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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