Individual
JAMES RYAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
360 JORDAN ST, SHREVEPORT, LA 71101-4847
(318) 429-7525
Mailing address
360 JORDAN ST, SHREVEPORT, LA 71101-4847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4844
LA
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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