Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | AN438599 | LA |
NPI | 1215458930 |
---|---|
Provider Name | Yolanda Hensley Dodson |
First Address | Shreveport, LA 71105-2414 |
Second Address | Shreveport, LA 71105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2017 |
Last Update Date | 03/07/2017 |