Individual
MARY DYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
2020 E 70TH ST STE 110, SHREVEPORT, LA 71105-5332
(318) 553-5591
Mailing address
2020 E 70TH ST STE 110, SHREVEPORT, LA 71105-5332
(318) 423-5855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5827
LA
Other
Enumeration date
08/22/2016
Last updated
09/04/2024
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