Individual
ETTA KEMYATA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2020 E 70TH ST STE 201, SHREVEPORT, LA 71105-5332
(318) 751-9098
Mailing address
2306 VILLAGGIO BLVD., BOSSIER CITY, LA 71111-7459
(601) 698-4172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
84782
TX
Other
Enumeration date
08/17/2018
Last updated
07/09/2021
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