DARELL COTTONHAM

SHREVEPORT, LA
NPI1093233926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-08-30
Last Update Date2017-08-30
Business Address
DARELL COTTONHAM
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
Mailing Address
DARELL COTTONHAM
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462