person
Kalan Jon Washington SR., MED
Mental Health Counselor in Shreveport, Louisiana
NPI 1124546312

Kalan Jon Washington SR. is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Kalan Jon Washington SR. practices in Shreveport, LA and has the professional credentials of MED. The NPI Number for Kalan Jon Washington SR. is 1124546312 and holds a License No. 1760852511 (Louisiana).

The current practice location address for Kalan Jon Washington SR. is 9403 Mansfield Rd, Shreveport, LA and can be reached out via phone at 318-861-8938 and via fax at 318-862-3554.

Location: 9403 Mansfield Rd, Shreveport, LA, 71118-3815
person
Provider Profile Details
NPI Number
1124546312
Provider Name
Kalan Jon Washington SR.
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
9403 Mansfield Rd, Shreveport, LA, 71118-3815
Phone Number
318-861-8938
Fax Number
318-862-3554
Provider Enumeration Date
09/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760852511 05 LA
institution
Provider Business Practice Location Address Details
Address
9403 Mansfield Rd
City
State
Zip
71118-3815
Phone Number
318-861-8938
Fax Number
318-862-3554
person
Provider Business Mailing Address Details
Address
9403 Mansfield Rd
City
State
Zip
71118-3815
Phone Number
318-861-8938
Fax Number
318-862-3554
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1760852511 (Louisiana)
Definition
Definition to come...
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