Jacquilla Stephens Moton
Jacquilla Stephens Moton is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1500 N Market St Ste C104Shreveport, LA 71107
Phone: (318) 626-5597
Fax: (318) 626-5691
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1548774797 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 27, 2017 |
| Last updated in NPPES | July 31, 2018 |
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