Individual
DANA CONVERSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
9019 TOPLECOT DR, SHREVEPORT, LA 71129-5137
(225) 439-1153
Mailing address
9019 TOPLECOT DR, SHREVEPORT, LA 71129-5137
(318) 470-1712
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6404
LA
Other
Enumeration date
11/03/2015
Last updated
06/16/2022
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