Individual
MICAH JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
707 SOUTHFIELD RD, SHREVEPORT, LA 71106-2219
(318) 869-1632
(318) 869-1633
Mailing address
707 SOUTHFIELD RD, SHREVEPORT, LA 71106-2219
(318) 869-1632
(318) 869-1633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8026
LA
101YM0800X
Mental Health Counselor
PLC8026
LA
Other
Enumeration date
09/08/2021
Last updated
11/22/2022
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