Individual
MRS. SHANA MICHELLE FERRARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1510 S VINE AVE, TYLER, TX 75701-2826
(903) 526-4055
Mailing address
182 COUNTY ROAD 1331, RUSK, TX 75785-3431
(903) 721-4602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11487
TX
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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