Individual
TENASIJA RASHAD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
Mailing address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9161
LA
Other
Enumeration date
01/05/2021
Last updated
01/18/2023
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