Individual
TAMIKA NICOLE DEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ADVANCED THERAPEUTIC, 1799 STUMPF BLVD BLD 3 STE 4B, TERRYTOWN, LA 70056
(504) 407-0755
(504) 407-0778
Mailing address
1799 STUMPF BLVD BLDG 3, TERRYTOWN, LA 70056-3950
(504) 407-0755
(504) 407-0778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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