Individual
MS. ELSIE MARY DITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1514 DOCTORS DR, BOSSIER CITY, LA 71111-3379
(318) 549-2500
(318) 549-2555
Mailing address
3041 DR MARTIN LUTHER KING DR, SHREVEPORT, LA 71107-4705
(318) 227-3350
(318) 222-2979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
11/02/2018
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