Individual
MRS. TABITHA R RAWLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105-2149
(318) 425-2000
(318) 424-2601
Mailing address
3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105-2149
(318) 425-2000
(318) 424-2601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7692
LA
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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