Individual
MR. CARLOS I AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7505 PINES RD STE 1200I, SHREVEPORT, LA 71129-3900
(318) 716-1707
Mailing address
7505 PINES RD STE 1200I, SHREVEPORT, LA 71129-3900
(318) 716-1707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8123
LA
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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