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Shanedra Fuller
Mental Health Counselor in Shreveport, Louisiana
NPI 1538511449

Shanedra Fuller is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Shanedra Fuller practices in Shreveport, LA. The NPI Number for Shanedra Fuller is 1538511449 and holds a License No. (Louisiana).

The current practice location address for Shanedra Fuller is 3126 Bert Koun Loop, Shreveport, LA and can be reached out via phone at 318-469-2183.

Location: 3126 Bert Koun Loop, Shreveport, LA, 71118-2903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538511449
Provider Name
Shanedra Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
3126 Bert Koun Loop, Shreveport, LA, 71118-2903
Phone Number
318-469-2183
Fax Number
Provider Enumeration Date
07/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3126 Bert Koun Loop
City
Shreveport
State
Louisiana
Zip
71118-2903
Phone Number
318-469-2183
Fax Number
person
Provider Business Mailing Address Details
Address
3126 Bert Koun Loop
City
Shreveport
State
Louisiana
Zip
71118-2903
Phone Number
318-469-2183
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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