Individual
FELECIA R FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
2620 CENTENARY BLVD, SHREVEPORT, LA 71104
(318) 681-9935
Mailing address
1112 DOT AVE, BOSSIER CITY, LA 71111-2670
(318) 507-8107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10266
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/24/2015
Last updated
07/16/2024
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