Individual
LAVINSKI WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 FELICIA AVE, TALLULAH, LA 71282
(318) 574-1232
Mailing address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(318) 574-1232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
04/18/2017
Last updated
05/07/2024
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