Shannon Stewart Gresham, M.S., L.A.C.

NPI #1346670064 in Coushatta, Louisiana

Provider Information

NPI Number
1346670064
Entity Type
Individual
Name
Shannon Stewart Gresham, M.S., L.A.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
M.S., L.A.C.
Enumeration Date
Nov 15, 2013
Last Updated
Nov 15, 2013

Practice Location

Address
1313 RINGGOLD AVE
ZIP Code
71019-9078
Phone
(318) 932-4029

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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