Individual
NATISHA MARIE PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3540 MAGGIO RD, BENTON, LA 71006-0017
(479) 462-9319
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4182
LA
Other
Enumeration date
09/16/2022
Last updated
09/20/2022
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