JUSTIN DAVIS

SHREVEPORT, LA
NPI1346614658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  LPC5961)
Enumeration Date2015-11-24
Last Update Date2022-08-22
Business Address
JUSTIN DAVIS
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938
Mailing Address
JUSTIN DAVIS
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938