Individual
TYNESHIA TAYLOR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
232 VENTRE BLVD, APT. 214, OPELOUSAS, LA 70570-9104
(337) 739-5740
Mailing address
PO BOX 368, OPELOUSAS, LA 70571-0368
(337) 739-5740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4542
LA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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