Individual
ERICA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BRANT DR, PRINCETON, LA 71067-9332
(318) 517-7171
Mailing address
500 BRANT DR, PRINCETON, LA 71067-9332
(318) 517-7171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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