Individual
VERONICA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6015 HEARNE AVE, SHREVEPORT, LA 71108-3803
(318) 213-0904
Mailing address
2803 JONATHAN LN, SHREVEPORT, LA 71108-5531
(318) 347-4994
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4949
LA
Other
Enumeration date
08/20/2015
Last updated
08/25/2020
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