Individual
TONYA COULLIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1234
LA
101YP2500X
Professional Counselor
Primary
3877
LA
Other
Enumeration date
05/27/2009
Last updated
02/25/2015
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