Individual
BETTY TETU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
UNIT 6 MEADOW LANE, CLSH RED RIVER TREATMENT CENTER, PINEVILLE, LA 71360
(318) 484-6400
(318) 487-5703
Mailing address
1503 CREED ST, PINEVILLE, LA 71360-5139
(318) 451-0481
(318) 487-5703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC 1007
LA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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