Individual
EIYANA MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 TEXAS ST STE 550A, SHREVEPORT, LA 71101-3546
(318) 889-3201
Mailing address
400 TEXAS ST STE 550A, SHREVEPORT, LA 71101-3546
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7910
LA
Other
Enumeration date
01/22/2019
Last updated
04/03/2023
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