Individual
ROBERT DAVID BRUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC #5016
Contact information
Practice address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4167
Mailing address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5016
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/22/2017
Last updated
10/23/2019
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