Provider Demographics
NPI:1518604412
Name:DOLLIOLE, SHONTELL MAGEE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHONTELL
Middle Name:MAGEE
Last Name:DOLLIOLE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7541 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-2007
Mailing Address - Country:US
Mailing Address - Phone:504-356-1334
Mailing Address - Fax:
Practice Address - Street 1:7541 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-2007
Practice Address - Country:US
Practice Address - Phone:504-356-1334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6307101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool