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Individual

TYVNA MCCRAE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1799 STUMPF BLVD BLDG SUITE7, TERRYTOWN, LA 70056-3950
(919) 434-6430
Mailing address
1799 STUMPF BLVD BLDG SUITE7, TERRYTOWN, LA 70056-3950
(919) 434-6430

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LA

Other

Enumeration date
12/22/2023
Last updated
10/20/2025
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