person
Johnny Vance
Mental Health Counselor in Shreveport, Louisiana
NPI 1629593082

Johnny Vance is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Johnny Vance practices in Shreveport, LA. The NPI Number for Johnny Vance is 1629593082 and holds a License No. 2203782947 (Louisiana).

The current practice location address for Johnny Vance is 1500 N Market St, Shreveport, LA and can be reached out via phone at 318-626-5597.

Location: 1500 N Market St, Shreveport, LA, 71107-2966
person
Provider Profile Details
NPI Number
1629593082
Provider Name
Johnny Vance
Credential
Provider Entity Type
Individual
Gender
Male
Address
1500 N Market St, Shreveport, LA, 71107-2966
Phone Number
318-626-5597
Fax Number
Provider Enumeration Date
08/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 N Market St
City
State
Zip
71107-6537
Phone Number
318-626-5597
Fax Number
person
Provider Business Mailing Address Details
Address
1500 N Market St
City
State
Zip
71107-6537
Phone Number
318-626-5597
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2203782947 (Louisiana)
Definition
Definition to come...
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