Individual
TIFFANY ST JOHN VOINCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CHINABERRY DR STE 502, BOSSIER CITY, LA 71111-2462
(318) 465-5184
Mailing address
1114 ELI CONNOR DR, BOSSIER CITY, LA 71112-4800
(318) 465-5184
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
9044
LA
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/06/2020
Last updated
07/17/2024
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