Individual provider · Type 1 NPI
Shannon Stewart Gresham, M.S., L.A.C.
Addiction (Substance Use Disorder) Counselor · Coushatta, LA
NPI number
1346670064
Active
Practice location
1313 Ringgold Ave
Coushatta, LA 71019-9078
Fax (318) 932-5914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LAC #1408 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1346670064
Shannon Stewart Gresham, M.S., L.A.C.'s National Provider Identifier is 1346670064, issued on Nov 15, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coushatta, LA. The record was last updated on Nov 15, 2013.