person
Ms. Amanda Marie Moushon, LPC
Professional Counselor in Shreveport, Louisiana
NPI 1376815340

Amanda Marie Moushon is a Professional Counselor based in Shreveport, LA and is specialized in Professional. Amanda Marie Moushon practices in Shreveport, LA and has the professional credentials of LPC. The NPI Number for Amanda Marie Moushon is 1376815340 and holds a License No. 4017 (Louisiana).

The current practice location address for Amanda Marie Moushon is 2620 Centenary Blvd, Shreveport, LA and can be reached out via phone at 318-681-9935 and via fax at 318-681-9938.

Location: 2620 Centenary Blvd, Shreveport, LA, 71105-2012
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Provider Profile Details
NPI Number
1376815340
Provider Name
Amanda Marie Moushon
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2620 Centenary Blvd, Shreveport, LA, 71105-2012
Phone Number
318-681-9935
Fax Number
318-681-9938
Provider Enumeration Date
02/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4017 01 LA LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
2620 Centenary Blvd
City
State
Zip
71104-3356
Phone Number
318-681-9935
Fax Number
318-681-9938
person
Provider Business Mailing Address Details
Address
2620 Centenary Blvd
City
State
Zip
71104-3356
Phone Number
318-681-9935
Fax Number
318-681-9938
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4017 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4017 (Louisiana)
Definition
Definition to come...
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