person
Mr. Eric Vinceson Clark JR., MHS
Mental Health Counselor in Shreveport, Louisiana
NPI 1053786194

Eric Vinceson Clark JR. is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Eric Vinceson Clark JR. practices in Shreveport, LA and has the professional credentials of MHS. The NPI Number for Eric Vinceson Clark JR. is 1053786194 and holds a License No. 008573370 (Louisiana).

The current practice location address for Eric Vinceson Clark JR. is 404 Hearne Ave, Shreveport, LA and can be reached out via phone at 318-716-1369 and via fax at 318-675-0120.

Location: 404 Hearne Ave, Shreveport, LA, 71103-2022
person
Provider Profile Details
NPI Number
1053786194
Provider Name
Eric Vinceson Clark JR.
Credential
MHS
Provider Entity Type
Individual
Gender
Male
Address
404 Hearne Ave, Shreveport, LA, 71103-2022
Phone Number
318-716-1369
Fax Number
318-675-0120
Provider Enumeration Date
12/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
404 Hearne Ave
City
State
Zip
71103
Phone Number
318-716-1369
Fax Number
318-675-0120
person
Provider Business Mailing Address Details
Address
404 Hearne Ave
City
State
Zip
71103
Phone Number
318-716-1369
Fax Number
318-675-0120
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
008573370 (Louisiana)
Definition
Definition to come...
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