Individual
FREDDIE HODGES AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
105 WIDGEON WAY, WEST MONROE, LA 71291-9121
(214) 505-0118
Mailing address
105 WIDGEON WAY, WEST MONROE, LA 71291-9121
(214) 505-0118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9160
LA
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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