Individual
BRIDGET LANETTE WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2020 E 70TH ST STE 301, SHREVEPORT, LA 71105-5332
(318) 553-5591
Mailing address
10283 CREIGHTON PL, KEITHVILLE, LA 71047-8945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6059
LA
101YP2500X
Professional Counselor
Primary
6059
LA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/20/2018
Last updated
06/04/2019
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