Individual
TABITHA ANN FRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
14635 S HARRELLS FERRY RD STE 3A, BATON ROUGE, LA 70816-2960
(985) 377-4453
Mailing address
14635 S HARRELLS FERRY RD STE 3A, BATON ROUGE, LA 70816-2960
(985) 377-4453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC9117
LA
171M00000X
Case Manager/Care Coordinator
PLC9117
LA
Other
Enumeration date
01/03/2023
Last updated
02/02/2023
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