Individual
ANNIE WASHIGNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5209 BUNCOMBE ROAD, SHREVEPORT, LA 71129
(318) 670-8898
Mailing address
PO BOX 29372, SHREVEPORT, LA 71149-9372
(318) 670-8898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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