EARNEST JEROME WYATT

SHREVEPORT, LA
NPI1689044588
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: LA  5202)
Enumeration Date2015-10-05
Last Update Date2024-10-30
Business Address
EARNEST JEROME WYATT LPC
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
EARNEST JEROME WYATT LPC
238 STUBBS VINSON ROAD
MONROE, LA 71203-5869
Phone number: 318-503-6902
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