person
Mr. Kenneth Elgin Beatty
Professional Counselor in Shreveport, Louisiana
NPI 1902179336

Kenneth Elgin Beatty is a Professional Counselor based in Shreveport, LA and is specialized in Professional. Kenneth Elgin Beatty practices in Shreveport, LA. The NPI Number for Kenneth Elgin Beatty is 1902179336 and holds a License No. (Louisiana).

The current practice location address for Kenneth Elgin Beatty is 864 Olive St, Shreveport, LA and can be reached out via phone at 318-222-0759 and via fax at 318-221-0216.

Location: 864 Olive St, Shreveport, LA, 71106-3303
person
Provider Profile Details
NPI Number
1902179336
Provider Name
Kenneth Elgin Beatty
Credential
Provider Entity Type
Individual
Gender
Male
Address
864 Olive St, Shreveport, LA, 71106-3303
Phone Number
318-222-0759
Fax Number
318-221-0216
Provider Enumeration Date
02/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
864 Olive St
City
State
Zip
71104-2159
Phone Number
318-222-0759
Fax Number
318-221-0216
person
Provider Business Mailing Address Details
Address
864 Olive St
City
State
Zip
71104-2159
Phone Number
318-222-0759
Fax Number
318-221-0216
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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