Individual
JENNIFER SMITH MAXIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2920 KNIGHT ST STE 155, SHREVEPORT, LA 71105-2412
(318) 213-1804
(318) 213-1818
Mailing address
177 SMITH RD, FRIERSON, LA 71027-1925
(318) 286-7958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5556
LA
Other
Enumeration date
12/02/2015
Last updated
10/20/2023
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