Individual
MR. GEORGE ANTHONY DAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
8924 JEWELLA AVE, SHREVEPORT, LA 71118-2100
(318) 707-1123
Mailing address
9 STERLING RANCH RD N, HAUGHTON, LA 71037-8536
(318) 707-1123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4947
LA
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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