Individual
TERRIA EBARB ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BC-TMH, C-CATP
Contact information
Practice address
414 MAGAZINE CT, BOSSIER CITY, LA 71111-6262
(318) 471-0618
Mailing address
414 MAGAZINE CT, BOSSIER CITY, LA 71111-6262
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3410
LA
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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