Provider Demographics
NPI:1972888717
Name:NORMAND, SANDRA CAIN (LPC)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:CAIN
Last Name:NORMAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 JORDAN ST
Mailing Address - Street 2:SUITE NUMBER 475
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4518
Mailing Address - Country:US
Mailing Address - Phone:318-655-7820
Mailing Address - Fax:318-424-8194
Practice Address - Street 1:820 JORDAN ST
Practice Address - Street 2:SUITE NUMBER 475
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4518
Practice Address - Country:US
Practice Address - Phone:318-655-7820
Practice Address - Fax:318-424-8194
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional