JOHNNY VANCE

SHREVEPORT, LA
NPI1629593082
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  2203782947)
Enumeration Date2017-08-07
Last Update Date2017-08-07
Business Address
JOHNNY VANCE
1500 N MARKET ST
SHREVEPORT, LA 71107-6537
Phone number: 318-626-5597
Mailing Address
JOHNNY VANCE
4302 N MARKET ST
SHREVEPORT, LA 71107-2966
Phone number:
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