Individual
APRIL MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 AIRLINE DR STE 1, BOSSIER CITY, LA 71111
(318) 588-5012
(318) 226-9942
Mailing address
1717 MARSHALL ST, SHREVEPORT, LA 71101-4139
(318) 226-9944
(318) 226-9942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/22/2018
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