Individual provider · Type 1 NPI

Tanisha Bullard

Counselor · Shreveport, LA

NPI number 1043871759 Active

Practice location

3341 Youree Dr
Shreveport, LA 71105-2149

Call (318) 219-4364 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNA (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043871759

Tanisha Bullard's National Provider Identifier is 1043871759, issued on Jun 24, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Shreveport, LA. The record was last updated on Jun 24, 2019.