Individual
LETITIA H THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUBSTANCE USE COUNSE
Contact information
Practice address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511
(318) 425-9670
Mailing address
PO BOX 29644, SHREVEPORT, LA 71149-9644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10101
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5055
LA
Other
Enumeration date
09/29/2021
Last updated
05/09/2023
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