Individual
HEATHER TAYLOR BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 E VAUGHN AVE, RUSTON, LA 71270-5928
(318) 224-7135
Mailing address
533 RABB RD, DUBACH, LA 71235-3265
(318) 497-9077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/11/2022
Last updated
03/08/2023
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