Individual
LATONYA NARCISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
Mailing address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
760289927
TAX ID
TX
Enumeration date
11/02/2017
Last updated
11/02/2017
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