Individual
COURTNEY RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTTP
Contact information
Practice address
9413 PRESTONWOOD DR, SHREVEPORT, LA 71115-3733
(318) 464-3115
Mailing address
9413 PRESTONWOOD DR, SHREVEPORT, LA 71115-3733
(318) 464-3115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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