Individual
TYRA RENE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 E REYNOLDS DR STE J3, RUSTON, LA 71270-2856
(318) 224-9098
Mailing address
206 E REYNOLDS DR STE J3, RUSTON, LA 71270-2856
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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