Individual
TONJA MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRSS
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 925-1987
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 925-1987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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