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Mr. Clarence Mcshan JR.
Mental Health Counselor in Shreveport, Louisiana
NPI 1477075505

Clarence Mcshan JR. is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Clarence Mcshan JR. practices in Shreveport, LA. The NPI Number for Clarence Mcshan JR. is 1477075505 and holds a License No. (Louisiana).

The current practice location address for Clarence Mcshan JR. is 9403 Mansfield Rd, Shreveport, LA and can be reached out via phone at 318-603-4696.

Location: 9403 Mansfield Rd, Shreveport, LA, 71118-3815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477075505
Provider Name
Clarence Mcshan JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
9403 Mansfield Rd, Shreveport, LA, 71118-3815
Phone Number
318-603-4696
Fax Number
Provider Enumeration Date
07/11/2017
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
Shreveport
State
Louisiana
Zip
71118-3815
Phone Number
318-603-4696
Fax Number
person
Provider Business Mailing Address Details
Address
9403 Mansfield Rd
City
Shreveport
State
Louisiana
Zip
71118-3815
Phone Number
318-603-4696
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Louisiana)
Definition
Definition to come...
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