Individual provider · Type 1 NPI

Shareis Headspeth

Mental Health Counselor · Covington, LA

NPI number 1043671290 Active

Practice location

19331 N 12th St
Covington, LA 70433-5228

Fax (985) 400-5164

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043671290

Shareis Headspeth's National Provider Identifier is 1043671290, issued on Mar 16, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Covington, LA. The record was last updated on Mar 16, 2016.