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NPI Code Detail

MEDICARE: SHENAN OBERHOLZER

MEDICARE: SHENAN OBERHOLZER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor317577TX

General Provider Information

NPI Number : 1942126651
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHENAN OBERHOLZER
Provider Business Mailing Address
First Line : 4606 LEE ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71302-3235
Country : US
Telephone Number : 318-441-1105
Fax Number :
Provider Business Practice Location Address
First Line : 4606 LEE ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71302-3235
Country : US
Telephone Number : 318-441-1105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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Directions to “ SHENAN OBERHOLZER ” Practice Location

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