Individual
MR. RICKEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 N MARKET ST STE 2, SHREVEPORT, LA 71107-2972
(318) 424-8735
(318) 424-8739
Mailing address
4601 N MARKET ST STE 2, SHREVEPORT, LA 71107-2972
(318) 424-8735
(318) 424-8739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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