Individual
CHRISTIE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
7005 BOBTAIL DR, SHREVEPORT, LA 71129-3417
(318) 465-9539
Mailing address
7005 BOBTAIL DR, SHREVEPORT, LA 71129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC10435
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000
—
LA
Enumeration date
02/10/2017
Last updated
01/07/2025
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