Individual provider · Type 1 NPI
Tamara Larck, CIT
Addiction (Substance Use Disorder) Counselor · Shreveport, LA
NPI number
1669007951
Active
Practice location
1525 Fullilove Drive
Shreveport, LA 71111
Fax (318) 317-3333
Mailing address
2000 Fairfield Ave
Shreveport, LA 71104-2099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 5061 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669007951
Tamara Larck, CIT's National Provider Identifier is 1669007951, issued on Mar 6, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shreveport, LA. The record was last updated on Oct 29, 2026.