Individual provider · Type 1 NPI

Johnny Vance

Mental Health Counselor · Shreveport, LA

NPI number 1629593082 Active

Practice location

1500 N Market St
Shreveport, LA 71107-6537

Call (318) 626-5597 Map

Mailing address

4302 N Market St
Shreveport, LA 71107-2966

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2203782947 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1629593082

Johnny Vance's National Provider Identifier is 1629593082, issued on Aug 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Aug 7, 2017.