Individual
DONALD COVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 PINES RD, 1005, SHREVEPORT, LA 71129-4442
(318) 799-9152
Mailing address
8200 PINES RD, 1005, SHREVEPORT, LA 71129-4442
(318) 799-9152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
10/30/2019
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