Individual
STARLA RACHELLE HUCKEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1416 NATCHITOCHES ST, WEST MONROE, LA 71292-3751
(318) 855-8773
Mailing address
1416 NATCHITOCHES ST, WEST MONROE, LA 71292-3751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1627
LA
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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