Individual
THERESA ANN BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
707 SOUTHFIELD RD, SHREVEPORT, LA 71106-2219
(318) 869-1632
(318) 869-1633
Mailing address
707 SOUTHFIELD RD, SHREVEPORT, LA 71106-2219
(318) 869-1632
(318) 869-1633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4085
LA
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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