Individual provider · Type 1 NPI

Aviance Shantel Smith

Mental Health Counselor · Shreveport, LA

NPI number 1194232959 Active

Practice location

9403 Mansfield Rd
Shreveport, LA 71118-3815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194232959

Aviance Shantel Smith's National Provider Identifier is 1194232959, issued on Jan 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jan 2, 2018.