Individual provider · Type 1 NPI
Lucille Tisby, CAC
Addiction (Substance Use Disorder) Counselor · Lafayette, LA
NPI number
1346892296
Active
Practice location
501 W Saint Mary Blvd Ste 414
Lafayette, LA 70506-4600
Mailing address
10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1200 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1346892296
Lucille Tisby, CAC's National Provider Identifier is 1346892296, issued on Jul 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lafayette, LA. The record was last updated on Jul 11, 2019.