NPI 1003124546

Michael Schroeder

Practitioner Professional Counselor Shreveport, LA

Practice location

Address: 510 E Stoner Ave, Shreveport, LA 71101-4243
Phone: (318) 221-8411

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 4104 (LA)

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Registry record

NPI: 1003124546
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2010
Record last updated: 17 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.