Most Relevant Information
Provider Data
| NPI Number: | 1003320250 |
| Provider Name: | ANDRE HAMPTON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/27/2017 |
| Last Updated: | 03/23/2020 |
Provider Practice Location
601 HOMER RD
MINDEN
LA
71055
Practice Location Phone/Fax
| Phone: | 3183716707 |
| Fax: |
Provider Mailing Location
9403 MANSFIELD RD
SHREVEPORT
LA
711183815
Provider Mailing Phone/Fax
| Phone: | 3188618938 |
| Fax: | 3188623554 |