Individual provider · Type 1 NPI

Shannon Javon Smith

Mental Health Counselor · Shreveport, LA

NPI number 1104356856 Active

Practice location

1717 Marshall St
Shreveport, LA 71101-4139

Call (318) 226-9944 Map

Mailing address

1785 Highway 162
Benton, LA 71006-4528

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104356856

Shannon Javon Smith's National Provider Identifier is 1104356856, issued on Jun 15, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jun 15, 2017.