person
Shannon Stewart Gresham, MS,LAC
Addiction (Substance Use Disorder) Counselor in Coushatta, Louisiana
NPI 1346670064

Shannon Stewart Gresham is an Addiction (Substance Use Disorder) Counselor based in Coushatta, LA and is specialized in Addiction (Substance Use Disorder). Shannon Stewart Gresham practices in Coushatta, LA and has the professional credentials of MS,LAC. The NPI Number for Shannon Stewart Gresham is 1346670064 and holds a License No. LAC #1408 (Louisiana).

The current practice location address for Shannon Stewart Gresham is 1313 Ringgold Ave, Coushatta, LA and can be reached out via phone at 318-932-4029 and via fax at 318-932-5914.

Location: 1313 Ringgold Ave, Coushatta, LA, 71019-9078
person
Provider Profile Details
NPI Number
1346670064
Provider Name
Shannon Stewart Gresham
Credential
MS,LAC
Provider Entity Type
Individual
Gender
Female
Address
1313 Ringgold Ave, Coushatta, LA, 71019-9078
Phone Number
318-932-4029
Fax Number
318-932-5914
Provider Enumeration Date
11/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1313 Ringgold Ave
City
State
Zip
71019-9078
Phone Number
318-932-4029
Fax Number
318-932-5914
person
Provider Business Mailing Address Details
Address
1313 Ringgold Ave
City
State
Zip
71019-9078
Phone Number
318-932-4029
Fax Number
318-932-5914
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAC #1408 (Louisiana)
Definition
Definition to come...
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