Individual
MRS. SANDY ANN MARSHALL HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LMFT
Contact information
Practice address
7330 FERN AVE, SUITE 404, SHREVEPORT, LA 71105-4971
(318) 797-0084
(318) 797-0844
Mailing address
7330 FERN AVE STE 602, SHREVEPORT, LA 71105-4984
(318) 629-0152
(318) 629-0157
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC2765
LA
106H00000X
Marriage & Family Therapist
935
LA
Other
Enumeration date
12/13/2006
Last updated
03/11/2019
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