Individual provider · Type 1 NPI

Amanda Marie Moushon, LPC

Professional Counselor · Shreveport, LA

NPI number 1376815340 Active

Practice location

2620 Centenary Blvd, Building 3, Suite 312
Shreveport, LA 71104-3356

Call (318) 681-9935 Map

Fax (318) 681-9938

Mailing address

3650 Greenway Pl
Shreveport, LA 71105-2012

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X4017 (LA)
Professional Counselor Primary 101YP2500X4017 (LA)

Professional Counselor: Definition to come...

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About NPI 1376815340

Amanda Marie Moushon, LPC's National Provider Identifier is 1376815340, issued on Feb 6, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Feb 6, 2012.