Individual
STACIE LERISSA TARPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
3605 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 615-9006
Mailing address
3605 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 615-9006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5894
LA
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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