Individual
JAMES COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1037 WILTON PL, SHREVEPORT, LA 71107-2817
(318) 674-0974
Mailing address
1037 WILTON PL, SHREVEPORT, LA 71107-2817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2017
Last updated
07/17/2019
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