Individual
MS. TASHA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 CARTER DR, MONROE, LA 71203
(318) 614-2315
Mailing address
107 CARTER DR, MONROE, LA 71203-6806
(318) 614-2315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4206
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
07/08/2016
Last updated
08/16/2022
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