GLEN D HARRIS

SHREVEPORT, LA
NPI1407228075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-10-22
Last Update Date2018-11-05
Business Address
GLEN D HARRIS M.A
6009 FINANCIAL PLZ STE 102
SHREVEPORT, LA 71129-2615
Phone number: 318-828-1455
Mailing Address
GLEN D HARRIS M.A
1504 BARKSDALE BLVD
BOSSIER CITY, LA 71111
Phone number: 318-222-4299