Individual
SHAYLA YVETTE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
5329 DIJON DR, BATON ROUGE, LA 70808-4378
(225) 300-4850
Mailing address
216 S FOSTER DR, BATON ROUGE, LA 70806-4103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4175
LA
Other
Enumeration date
11/27/2018
Last updated
10/10/2024
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