Individual
MRS. OLIVIA CALDWELL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
543 STONER AVE, SHREVEPORT, LA 71101-4122
(318) 673-9901
(318) 673-9904
Mailing address
9366 GARFIELD DR, SHREVEPORT, LA 71118-3319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3226
LA
101YP2500X
Professional Counselor
3226
LA
Other
Enumeration date
07/19/2016
Last updated
10/10/2023
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