Individual
ANN M INABNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC, LMFT
Contact information
Practice address
1525 STEPHENS AVE, SHREVEPORT, LA 71101-4705
(318) 221-6121
(318) 222-7879
Mailing address
544 LLOYD LN, SHREVEPORT, LA 71106-4743
(318) 219-7530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1840
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160
LMFT
LA
01
—
1840
LPC
LA
Enumeration date
11/10/2006
Last updated
07/08/2007
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