Freddie Mingo
Counselor, Mental Health in Shreveport, LA. Individual provider (NPI-1).
NPI number1982189957
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1982189957
- Entity type
- Individual (NPI-1)
- Name
- Freddie Mingo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2018
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
8370 Old Mooringsport RdShreveport, LA 71107-9273
Phone 318-422-5567
Mailing address
8370 Old Mooringsport RdShreveport, LA 71107-9273
Phone 318-422-5567
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