Individual
RENATA D MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, NCSC
Contact information
Practice address
1950 E. 70TH STREET, SUITE C AND D, SHREVEPORT, LA 71105
(318) 759-7020
(318) 383-0698
Mailing address
1950 E. 70TH STREET, SUITE C AND D, SHREVEPORT, LA 71105
(318) 759-7020
(318) 383-0698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8914
LA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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