Individual
ANQUITRA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
2924 KNIGHT ST STE 434, SHREVEPORT, LA 71105
(318) 631-1122
Mailing address
4327 RIDGEWAY ST, SHREVEPORT, LA 71107-7635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
07/27/2018
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