Hailey Lynn Hesterman Slack
Counselor, Professional in Shreveport, LA. Individual provider (NPI-1).
NPI number1942008461
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1942008461
- Entity type
- Individual (NPI-1)
- Name
- Hailey Lynn Hesterman Slack
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2025
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
8873 Quimper PlShreveport, LA 71105-5620
Phone 318-686-0012
Mailing address
8873 Quimper PlShreveport, LA 71105-5620
Phone 318-686-0012
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