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Individual

TARA WHITNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
420 MAGNOLIA ST, HOUMA, LA 70360
(985) 879-3966
Mailing address
420 MAGNOLIA ST, HOUMA, LA 70360-6304
(985) 879-3966

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8112
LA
101YM0800X
Mental Health Counselor
LA
101YP2500X
Professional Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
08/28/2016
Last updated
09/06/2022
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