Individual
MRS. ANGELA M VANWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
990 QUAIL CREEK RD, SHREVEPORT, LA 71105-2329
(318) 218-2623
Mailing address
990 QUAIL CREEK RD, SHREVEPORT, LA 71105-2329
(318) 218-2623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4197
LA
101YP1600X
Pastoral Counselor
16524
LA
101YP2500X
Professional Counselor
Primary
4197
LA
Other
Enumeration date
04/17/2015
Last updated
11/21/2019
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