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Individual

DARA BOURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SSCOMH

Contact information

Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5599
Mailing address
6201 BERT KOUNS INDUSTRIAL LOOP, LOT 870, SHREVEPORT, LA 71129-5056
(318) 688-6441

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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