Individual
EBONY ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
151 FREESTATE BLVD, SHREVEPORT, LA 71107-6535
(318) 226-5990
(318) 675-3711
Mailing address
1434 HAWN AVE, SHREVEPORT, LA 71107-6508
(318) 617-8063
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7757
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7757
—
LA
Enumeration date
10/09/2017
Last updated
10/05/2022
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