Individual
TAKEBRA ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 FOUNTAIN DR APT 4, RUSTON, LA 71270-9151
(318) 564-3037
Mailing address
429 FOUNTAIN DR APT 4, RUSTON, LA 71270-9151
(318) 564-3037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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