Individual
VICKY W. ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5135
(318) 676-5137
Mailing address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5135
(318) 676-5137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3166
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8094
OMH PROVIDER NUMBER
LA
Enumeration date
01/30/2007
Last updated
07/08/2007
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