KENNA J LATIOLAIS

SHREVEPORT, LA
NPI1437735230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  685)
Enumeration Date2021-03-22
Last Update Date2021-03-22
Business Address
KENNA J LATIOLAIS LAC
525 CROCKETT ST
SHREVEPORT, LA 71101-3601
Phone number: 318-226-2890
Mailing Address
KENNA J LATIOLAIS LAC
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2002
Phone number: 318-222-8511
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