person
Jeannie Kanode
Mental Health Counselor in Shreveport, Louisiana
NPI 1922426857

Jeannie Kanode is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Jeannie Kanode practices in Shreveport, LA. The NPI Number for Jeannie Kanode is 1922426857 and holds a License No. 4784 (Louisiana).

The current practice location address for Jeannie Kanode is 856 Texas Ave, Shreveport, LA and can be reached out via phone at 318-429-6979 and via fax at 318-227-6179.

Location: 856 Texas Ave, Shreveport, LA, 71101-3400
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Provider Profile Details
NPI Number
1922426857
Provider Name
Jeannie Kanode
Credential
Provider Entity Type
Individual
Gender
Female
Address
856 Texas Ave, Shreveport, LA, 71101-3400
Phone Number
318-429-6979
Fax Number
318-227-6179
Provider Enumeration Date
03/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417252230 05 LA
institution
Provider Business Practice Location Address Details
Address
856 Texas Ave
City
State
Zip
71101-3400
Phone Number
318-429-6979
Fax Number
318-227-6179
person
Provider Business Mailing Address Details
Address
856 Texas Ave
City
State
Zip
71101-3400
Phone Number
318-429-6979
Fax Number
318-227-6179
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4784 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4784 (Louisiana)
Definition
Definition to come...
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