DARA BOURN

SHREVEPORT, LA
NPI1154461564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- DARA BOURN SSCOMH
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5599
Mailing Address
-- DARA BOURN SSCOMH
6201 BERT KOUNS INDUSTRIAL LOOP LOT 870
SHREVEPORT, LA 71129-5056
Phone number: 318-688-6441