Individual
JOSEPH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 SPRING ST, STE 205, SHREVEPORT, LA 71101-3758
(318) 670-3170
Mailing address
800 SPRING ST, STE 205, SHREVEPORT, LA 71101-3758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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