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Cordarius Smith I
Mental Health Counselor in Shreveport, Louisiana
NPI 1962946335

Cordarius Smith I is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Cordarius Smith I practices in Shreveport, LA. The NPI Number for Cordarius Smith I is 1962946335 and holds a License No. (Louisiana).

The current practice location address for Cordarius Smith I is 1513 Line Ave Ste 315, Shreveport, LA and can be reached out via phone at 381-221-2828 and via fax at 318-221-2998.

Location: 1513 Line Ave Ste 315, Shreveport, LA, 71101-4621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962946335
Provider Name
Cordarius Smith I
Credential
Provider Entity Type
Individual
Gender
Male
Address
1513 Line Ave Ste 315, Shreveport, LA, 71101-4621
Phone Number
381-221-2828
Fax Number
318-221-2998
Provider Enumeration Date
12/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1513 Line Ave Ste 315
City
Shreveport
State
Louisiana
Zip
71101-4621
Phone Number
381-221-2828
Fax Number
318-221-2998
person
Provider Business Mailing Address Details
Address
1513 Line Ave Ste 315
City
Shreveport
State
Louisiana
Zip
71101-4621
Phone Number
381-221-2828
Fax Number
318-221-2998
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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