Individual
TAMMY MICHELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179 BAGDAD LOOP, COLFAX, LA 71417
(318) 542-5849
Mailing address
179 BAGDAD LOOP, COLFAX, LA 71417-5137
(318) 542-5849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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