Individual
LA'TAVIA TINIA VALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 924-1910
Mailing address
804 5TH ST, GUEYDAN, LA 70542-3206
(337) 275-0610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5719
LA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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