Individual
SHLONDA NICOLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2743 GRASSMERE ST, SHREVEPORT, LA 71108-4317
(318) 218-3934
Mailing address
2743 GRASSMERE ST, SHREVEPORT, LA 71108-4317
(318) 218-3934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5913
LA
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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