Individual
DAMARA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
2620 CENTENARY BLVD BLDG3 STE 312, SHREVEPORT, LA 71104
(318) 681-9935
Mailing address
2620 CENTENARY BLVD BLDG3 SET 312, SHREVEPORT, LA 71104
(318) 681-9935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6509
LA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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