Individual
ROBERT SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104
(318) 742-3408
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/22/2016
Last updated
10/10/2019
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