Individual
DR. TAMMY LEWIS WILBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LPC-S, NCC
Contact information
Practice address
3900 GENERAL TAYLOR ST, NEW ORLEANS, LA 70125-2915
(901) 550-8770
Mailing address
PO BOX 871086, NEW ORLEANS, LA 70187-1086
(901) 550-8770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2351
TN
101YP2500X
Professional Counselor
Primary
6422
LA
Other
Enumeration date
02/20/2007
Last updated
03/19/2016
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