SHANNON DOUGLAS

BATON ROUGE, LA
NPI1720435852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-05-18
Last Update Date2018-07-17
Business Address
SHANNON DOUGLAS
2156 WOODDALE BLVD STE 100
BATON ROUGE, LA 70806
Phone number: 225-928-4040
Mailing Address
SHANNON DOUGLAS
2156 WOODDALE BLVD STE 100
BATON ROUGE, LA 70806-1476
Phone number: 225-928-4040