Individual
BYRON DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
351 W 79TH ST, SHREVEPORT, LA 71106-4819
(318) 688-8190
(318) 688-8193
Mailing address
236 SOUTHFIELD RD, SHREVEPORT, LA 71105-3609
(832) 998-9096
(318) 688-8193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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