Individual
AALIYAH JANEE' WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 JORDAN ST, SHREVEPORT, LA 71101-4518
(318) 208-8400
Mailing address
4827 JOSEY CIR, SHREVEPORT, LA 71109-6616
(318) 828-7110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011284368
LA
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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