Individual
NIKITA MAJOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10004 GEORGETOWN DR, SHREVEPORT, LA 71115-3409
(832) 397-0077
Mailing address
10004 GEORGETOWN DR, SHREVEPORT, LA 71115-3409
(832) 397-0077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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