Individual
RAGAN HAYNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, LMFT
Contact information
Practice address
3003 KNIGHT ST STE 115, SHREVEPORT, LA 71105-2561
(318) 510-4023
Mailing address
513 DALEY, PRINCETON, LA 71067-9111
(318) 510-4023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC 5945
LA
106H00000X
Marriage & Family Therapist
PLM 1246
LA
Other
Enumeration date
03/02/2016
Last updated
12/07/2020
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