BRANDON RAINWATER

SHREVEPORT, LA
NPI1033766423
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: LA  PLC9925)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2019-08-21
Last Update Date2024-10-25
Business Address
BRANDON RAINWATER
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-429-6938
Mailing Address
BRANDON RAINWATER
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-213-1887