Individual provider · Type 1 NPI

Tequilla Barksdale, LMSW

Mental Health Counselor · Lake Charles, LA

NPI number 1417329863 Active

Practice location

1333 Common St
Lake Charles, LA 70601-5255

Fax (337) 437-8283

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8773 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1417329863

Tequilla Barksdale, LMSW's National Provider Identifier is 1417329863, issued on Oct 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Charles, LA. The record was last updated on Oct 26, 2015.