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Individual

VICTORIA PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1525 FULLILOVE DR, BOSSIER CITY, LA 71112-3346
(318) 747-1211
(318) 317-3333
Mailing address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2099
(318) 222-8511
(318) 425-9670

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6195
LA

Other

Enumeration date
01/09/2020
Last updated
01/09/2020
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