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Organization
RED RIVER THERAPEUTIC SOULUTIONS
Active
Organization
RED RIVER THERAPEUTIC SOULUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VONETTA FAYE COOK BS (MENTAL HEALTH PROFESSIONSAL)
(318) 402-7789
Entity
Organization
Contact information
Practice address
7000 RED FOX TRL APT 237, SHREVEPORT, LA 71129-3546
(318) 423-7963
Mailing address
7000 RED FOX TRL APT 237, SHREVEPORT, LA 71129-3546
(318) 423-7963
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
251S00000X
LA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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