Tamara Sherice Crow X
Counselor, Addiction (Substance Use Disorder) in Charenton, LA. Individual provider (NPI-1).
NPI number1144901034
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1144901034
- Entity type
- Individual (NPI-1)
- Name
- Tamara Sherice Crow X
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2023
- Certification date
- Jul 12, 2023
- Last updated
- Jul 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 5670 | LA | Yes |
Practice location
327 East Martin Luther King RoadCharenton, LA 70523
Phone 318-209-8232
Mailing address
Po Box 126Charenton, LA 70523-0126
Phone 318-209-8232
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