Individual
ERICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 FROSTWOOD DR, SHREVEPORT, LA 71108-5527
(318) 617-0774
Mailing address
2921 FROSTWOOD DR, SHREVEPORT, LA 71108-5527
(318) 617-0774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
12/09/2016
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