Individual
MRS. TABITHA CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
803 COOLIDGE BLVD STE 107, LAFAYETTE, LA 70503-2376
(337) 806-5552
Mailing address
803 COOLIDGE BLVD STE 107, LAFAYETTE, LA 70503-2376
(337) 806-5552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4581
LA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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