Individual
ROY THOMAS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 MACKEY PL, 135, SHREVEPORT, LA 71118-2544
(318) 461-9855
Mailing address
2715 MACKEY PL, 135, SHREVEPORT, LA 71118-2544
(318) 461-9855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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