Individual provider · Type 1 NPI

Michalen Dillard

Mental Health Counselor · Shreveport, LA

NPI number 1154054682 Active

Practice location

4718 Hearne Ave
Shreveport, LA 71108-2703

Call (318) 828-1521 Map

Mailing address

1623 Vivian St
Shreveport, LA 71108-2313

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154054682

Michalen Dillard's National Provider Identifier is 1154054682, issued on Jul 1, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jul 1, 2022.