Basic Information
| Provider Information | |||||||||
| NPI: | 1972888717 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NORMAND | ||||||||
| FirstName: | SANDRA | ||||||||
| MiddleName: | CAIN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 820 JORDAN ST | ||||||||
| Address2: | SUITE NUMBER 475 | ||||||||
| City: | SHREVEPORT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 711014518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3186557820 | ||||||||
| FaxNumber: | 3184248194 | ||||||||
| Practice Location | |||||||||
| Address1: | 820 JORDAN ST | ||||||||
| Address2: | SUITE NUMBER 475 | ||||||||
| City: | SHREVEPORT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 711014518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3186557820 | ||||||||
| FaxNumber: | 3184248194 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2011 | ||||||||
| LastUpdateDate: | 08/16/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 4101 | LA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.