Individual
MRS. TAMALA EDWARDS PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3109 ALLEN ST, NEW ORLEANS, LA 70122
(985) 969-9194
Mailing address
3109 ALLEN ST, NEW ORLEANS, LA 70122-2909
(985) 969-9194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1463
LA
101YP2500X
Professional Counselor
Primary
5319
LA
Other
Enumeration date
11/04/2013
Last updated
07/02/2018
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