Individual
MS. TAMMARA O'NEIL TRAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC, CCGC
Contact information
Practice address
611 WEST ADMIRAL DOYLE DRIVE, NEW IBERIA, LA 70560
(337) 373-0002
(337) 373-0125
Mailing address
611 W ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6408
(337) 373-0002
(337) 373-0125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC 985
LA
101YP2500X
Professional Counselor
CCGC 1049
LA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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