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Individual

ANTHONY CHEATHEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7505 PINES RD STE 1200I, SHREVEPORT, LA 71129-3900
(318) 716-1707
(318) 716-1815
Mailing address
7505 PINES RD STE 1200I, SHREVEPORT, LA 71129-3900
(318) 716-1707
(318) 716-1815

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/22/2017
Last updated
01/22/2017
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