Individual provider · Type 1 NPI

Satyaprabha Reddy Bollam, LMFT

Professional Counselor · Shreveport, LA

NPI number 1598059719 Active

Practice location

820 Jordan St
Shreveport, LA 71101-4518

Call (318) 458-7713 Map

Fax (318) 754-4195

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4362 (LA)
Addiction (Substance Use Disorder) Counselor 101YA0400X5863 (TX)
Professional Counselor 101YP2500X12182 (TX)
Marriage & Family Therapist 106H00000X4613 (TX)
Marriage & Family Therapist 106H00000X1177 (LA)

Professional Counselor: Definition to come...

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About NPI 1598059719

Satyaprabha Reddy Bollam, LMFT's National Provider Identifier is 1598059719, issued on Jun 6, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Dec 4, 2015.