Individual provider · Type 1 NPI

Brenda Pack

Mental Health Counselor · Shreveport, LA

NPI number 1144775636 Active

Practice location

4609 N Market St, Ste. A
Shreveport, LA 71107

Call (318) 626-5462 Map

Fax (318) 626-5562

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1144775636

Brenda Pack's National Provider Identifier is 1144775636, issued on Aug 24, 2016. 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 8, 2018.