Individual
HEATHER ASHLEY PHARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
7330 FERN AVE STE 1003, SHREVEPORT, LA 71105-4988
(318) 459-8663
Mailing address
7330 FERN AVE STE 1003, SHREVEPORT, LA 71105-4988
(318) 459-8663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC7777
LA
Other
Enumeration date
01/03/2022
Last updated
07/03/2023
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