Individual
MS. TOLLIVER FAVORITE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 AVONDALE GARDEN RD, WESTWEGO, LA 70094-2608
(832) 492-2256
Mailing address
344 AVONDALE GARDEN RD, WESTWEGO, LA 70094-2608
(832) 492-2256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9298
LA
101YM0800X
Mental Health Counselor
PLC9298
LA
Other
Enumeration date
01/20/2022
Last updated
08/21/2023
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