Individual
REGAN LEA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 E RUTHERFORD ST, SHREVEPORT, LA 71104-3406
(337) 400-9116
Mailing address
126 E RUTHERFORD ST, SHREVEPORT, LA 71104-3406
(337) 400-9116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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