Individual provider · Type 1 NPI
Freddie Mingo
Mental Health Counselor · Shreveport, LA
NPI number
1982189957
Active · reactivated May 25, 2021
Practice location
8370 Old Mooringsport Rd
Shreveport, LA 71107-9273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1982189957
Freddie Mingo's National Provider Identifier is 1982189957, issued on Sep 26, 2018. 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 25, 2021.