Individual provider · Type 1 NPI

Dara Bourn, SSCOMH

Mental Health Counselor · Shreveport, LA

NPI number 1154461564 Active

Practice location

1310 N Hearne Ave
Shreveport, LA 71107-6516

Call (318) 676-5599 Map

Mailing address

6201 Bert Kouns Industrial Loop, Lot 870
Shreveport, LA 71129-5056

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154461564

Dara Bourn, SSCOMH's National Provider Identifier is 1154461564, issued on Feb 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.