ROSS GITHENS

SHREVEPORT, LA
NPI1063609782
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  1144)
Enumeration Date2007-09-26
Last Update Date2018-03-17
Business Address
ROSS GITHENS LAC 1144
520 OLIVE ST
SHREVEPORT, LA 71104-2312
Phone number: 318-459-8922
Mailing Address
ROSS GITHENS LAC 1144
6129 RIVER RD
SHREVEPORT, LA 71105-4833
Phone number: 318-459-8922
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