Individual
DR. TANYA E HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 IDA ST, LEESVILLE, LA 71446-3013
(337) 208-1637
Mailing address
100 IDA ST, LEESVILLE, LA 71446-3013
(337) 208-1637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5268
LA
101YP2500X
Professional Counselor
Primary
5268
LA
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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