Individual provider · Type 1 NPI

Tanesia Manique James

Addiction (Substance Use Disorder) Counselor · Lake Charles, LA

NPI number 1952632010 Active

Practice location

3505 5th Ave
Lake Charles, LA 70607-2156

Fax (337) 475-4858

Mailing address

4464 Gordon Woods Dr
Lake Charles, LA 70615-2995

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1952632010

Tanesia Manique James's National Provider Identifier is 1952632010, issued on Jan 28, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Charles, LA. The record was last updated on Jan 28, 2010.