Individual
ROAN JORDAN FLENNIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP # 102, SHREVEPORT, LA 71105-5634
(318) 455-6008
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP # 102, SHREVEPORT, LA 71105-5634
(318) 455-6008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7670
LA
Other
Enumeration date
09/01/2018
Last updated
02/06/2019
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