Individual
HAROLD D. SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 E. STONER AVENUE, SHREVEPORT, LA 71101-4295
(318) 990-5018
Mailing address
6845 HWY 1, LOT #1, SHREVEPORT, LA 71107
(318) 990-5018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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