Individual
RATONYA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6251 BUNCOMBE RD, 5, SHREVEPORT, LA 71129-4340
(318) 426-1298
Mailing address
6251 BUNCOMBE RD, 5, SHREVEPORT, LA 71129-4340
(318) 426-1298
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3101
LA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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