Individual
BRANDON RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2920 KNIGHT ST STE 155, SHREVEPORT, LA 71105-2412
(318) 429-6938
(318) 629-2870
Mailing address
2920 KNIGHT ST STE 155, SHREVEPORT, LA 71105-2412
(318) 213-1887
(318) 629-2870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9925
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/21/2019
Last updated
10/25/2024
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