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Individual

MRS. TINA MONROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CIT

Contact information

Practice address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-6122
(337) 524-1419
Mailing address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-6122

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5191
LA

Other

Enumeration date
12/10/2021
Last updated
12/10/2021
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