Individual
MRS. TAMARA DIANE EWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2216 WASHBURN WAY, BOSSIER CITY, LA 71111-5749
(318) 518-0487
Mailing address
2216 WASHBURN WAY, BOSSIER CITY, LA 71111-5749
(318) 518-0487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4830
LA
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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