Individual
RODERICK LAVELLE HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2704 SHED RD APT 234E, BOSSIER CITY, LA 71111-3036
(318) 572-2970
Mailing address
2704 SHED RD APT 234E, BOSSIER CITY, LA 71111-3036
(318) 572-2970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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