Individual
TIMOTHY C MOKRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 OLIVE ST, SHREVEPORT, LA 71104-2103
(318) 300-3560
(318) 300-3561
Mailing address
925 OLIVE ST, SHREVEPORT, LA 71104-2103
(318) 300-3560
(318) 300-3561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7520
LA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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