| Doctor Name: | MRS. CASSANDRA ANNE KEMMERER |
| NPI Number: | 1528258092 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC,LMFT |
| License Number: | 2582 |
| Business Practice Address: | 2620 Centenary Blvd Bldg. 1 Ste. 118 Shreveport, LA - 711043356 |
| Business Phone Number: | 3186731010 |
| Business Fax Number: | 3186731424 |
| Mailing Address: | 102 E Prospect St, SHREVEPORT |
| State: | LA |
| Postal Code: | 711042522 |
| Phone Number: | 3186731010 |
| Fax Number: | 3186731424 |
| NPI Enumeration Date: | 07/30/2007 |
| NPI Last Update Date: | 07/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2582 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |