Individual
WYTIKA BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12097 OLD HAMMOND HWY STE I4, BATON ROUGE, LA 70816-8679
(225) 328-0826
Mailing address
422 MONTRACHET DR, PORT ALLEN, LA 70767-4672
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/19/2024
Last updated
07/01/2024
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