Individual
JEREMY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 CHEVERNY CIR, SHREVEPORT, LA 71118
(318) 607-4474
Mailing address
3325 CHEVERNY CIR, SHREVEPORT, LA 71118-4328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
09/29/2015
Last updated
06/15/2018
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