Individual
MR. JAMES ANTONY BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC NCC
Contact information
Practice address
725 LINCOLN DR, SHREVEPORT, LA 71107-3209
(318) 564-4726
Mailing address
725 LINCOLN DR, SHREVEPORT, LA 71107-3209
(318) 564-4726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7188
LA
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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