Individual
MS. DESTINY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118
(318) 861-8938
Mailing address
1513 LINE AVE STE 225, SHREVEPORT, LA 71101-4621
(318) 754-3890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
05/14/2018
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