Individual provider · Type 1 NPI

Fanetta Maquail Houston

Mental Health Counselor · Shreveport, LA

NPI number 1659925626 Active

Practice location

458 Herndon St
Shreveport, LA 71101-4859

Call (318) 429-6938 Map

Mailing address

8501 Millicent Way
Shreveport, LA 71115-2237

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XPLC7978 (LA)
Mental Health Counselor Primary 101YM0800XLPC7978 (LA)

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About NPI 1659925626

Fanetta Maquail Houston's National Provider Identifier is 1659925626, issued on Jul 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Sep 15, 2022.