Individual
BRANDY RENEE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
520 OLIVE ST, SHREVEPORT, LA 71104
(318) 562-6903
(318) 209-3417
Mailing address
520 OLIVE ST, SHREVEPORT, LA 71104-2312
(318) 562-6903
(318) 209-3417
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4853
LA
101Y00000X
Counselor
CI4853
LA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/05/2012
Last updated
07/24/2019
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