Individual
MS. SUSAN MAYES VINING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2285 BENTON RD STE D201, BOSSIER CITY, LA 71111
(318) 299-2334
Mailing address
2285 BENTON RD STE D201, BOSSIER CITY, LA 71111-3469
(318) 299-2334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4002
LA
Other
Enumeration date
04/12/2013
Last updated
06/10/2019
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