Individual
GLEN D HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
6009 FINANCIAL PLZ STE 102, SHREVEPORT, LA 71129-2615
(318) 828-1455
Mailing address
1504 BARKSDALE BLVD, BOSSIER CITY, LA 71111
(318) 222-4299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
11/05/2018
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