Organization
CADDO PARSH COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WOODROW WILSON JR. (CEO/ADMINISTRATOR)
(318) 226-6900
Entity
Organization
Contact information
Practice address
1835 SPRING ST, SHREVEPORT, LA 71101-4239
(318) 226-6500
Mailing address
505 TRAVIS ST, 110, SHREVEPORT, LA 71101-3027
(318) 226-6596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3739
LA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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