TINA CHANTELLE BASS

RAYVILLE, LA
NPI1962266601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CIT-5752)
Enumeration Date2024-02-13
Last Update Date2024-02-13
Business Address
TINA CHANTELLE BASS
161 COMEAUX RD
RAYVILLE, LA 71269-7554
Phone number: 318-303-5500
Mailing Address
TINA CHANTELLE BASS
161 COMEAUX RD
RAYVILLE, LA 71269-7554
Phone number: 318-303-5500
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