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Ms. Timika Jones Tisdale
Mental Health Counselor in Shreveport, Louisiana
NPI 1013454917

Timika Jones Tisdale is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Timika Jones Tisdale practices in Shreveport, LA. The NPI Number for Timika Jones Tisdale is 1013454917 and holds a License No. 006687357 (Louisiana).

The current practice location address for Timika Jones Tisdale is 6051 Roma Dr Apt 109, Shreveport, LA and can be reached out via phone at 318-402-2566.

Location: 6051 Roma Dr Apt 109, Shreveport, LA, 71105-4663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013454917
Provider Name
Timika Jones Tisdale
Credential
Provider Entity Type
Individual
Gender
Female
Address
6051 Roma Dr Apt 109, Shreveport, LA, 71105-4663
Phone Number
318-402-2566
Fax Number
Provider Enumeration Date
01/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6051 Roma Dr Apt 109
City
Shreveport
State
Louisiana
Zip
71105-4663
Phone Number
318-402-2566
Fax Number
person
Provider Business Mailing Address Details
Address
6051 Roma Dr Apt 109
City
Shreveport
State
Louisiana
Zip
71105-4663
Phone Number
318-402-2566
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
006687357 (Louisiana)
Definition
Definition to come...
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