Individual provider · Type 1 NPI

Kywanna Shackelford, M.A.

Mental Health Counselor · Shreveport, LA

NPI number 1730616343 Active

Practice location

2920 Knight St, SUITE110
Shreveport, LA 71105-2412

Fax (318) 670-7156

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730616343

Kywanna Shackelford, M.A.'s National Provider Identifier is 1730616343, issued on May 12, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on May 12, 2017.