Individual
MRS. MONIQUE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4028 PARKWOOD DR, SHREVEPORT, LA 71119-6511
(318) 469-8274
Mailing address
4028 PARKWOOD DR, SHREVEPORT, LA 71119-6511
(318) 469-8274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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