Individual provider · Type 1 NPI

Kierra Condoll

Mental Health Counselor · Shreveport, LA

NPI number 1891571865 Active

Practice location

631 Milam St Ste 103
Shreveport, LA 71101-3534

Call (318) 658-0069 Map

Mailing address

1066 Elliston Dr
Gonzales, LA 70737-8269

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891571865

Kierra Condoll's National Provider Identifier is 1891571865, issued on Sep 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Oct 17, 2026.