Organization
CRISIS 504 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CECILE WATTERS TEBO LCSW (OWNER)
(504) 908-5799
Entity
Organization
Contact information
Practice address
3528 VINCENNES PLACE, NEW ORLEANS, LA 70125
(504) 908-5799
Mailing address
3528 VINCENNES PLACE, NEW ORLEANS, LA 70125
(504) 908-5799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2415
LA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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