Individual
KACEY TYSON TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, RSW
Contact information
Practice address
1001 W MADISON AVE, BASTROP, LA 71220-4331
(318) 281-8422
(318) 281-2325
Mailing address
PO BOX 792, BASTROP, LA 71221-0792
(318) 283-8887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4348
LA
Other
Enumeration date
01/26/2012
Last updated
03/21/2025
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