Individual
AMBER LEEANN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 286-0687
Mailing address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC8740
LA
171M00000X
Case Manager/Care Coordinator
PLC8740
LA
Other
Enumeration date
10/05/2021
Last updated
12/14/2022
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