Provider Demographics
NPI:1558624353
Name:FINLEY, CHANELL SHARESE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHANELL
Middle Name:SHARESE
Last Name:FINLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-4942
Mailing Address - Country:US
Mailing Address - Phone:318-392-4150
Mailing Address - Fax:318-656-3760
Practice Address - Street 1:1500 N 19TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-4942
Practice Address - Country:US
Practice Address - Phone:318-392-4150
Practice Address - Fax:318-656-3760
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3917101YP2500X
LAAN 461448101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool