Individual
REGINA KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 NENA ST, SHREVEPORT, LA 71107-5827
(318) 218-0591
Mailing address
2951 NENA ST, SHREVEPORT, LA 71107-5827
(318) 218-0591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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