Individual
SHANNON ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S, NCC
Contact information
Practice address
8241 SUMMA AVE STE A, BATON ROUGE, LA 70809-3735
(225) 230-9100
(225) 416-6046
Mailing address
30791 DUNN RD, DENHAM SPRINGS, LA 70726-1528
(225) 243-5465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6479
LA
101YP2500X
Professional Counselor
6479
LA
Other
Enumeration date
08/17/2017
Last updated
05/08/2024
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