Individual
MR. BRIAN BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
10107 AUTUMN OAKS LN, SHREVEPORT, LA 71106-9375
(318) 798-9963
Mailing address
10107 AUTUMN OAKS LN, SHREVEPORT, LA 71106-9375
(318) 798-9963
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6012
LA
Other
Enumeration date
06/27/2016
Last updated
08/08/2016
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