Sonja Tullos Smith, LAC 978

NPI #1568848067 in Amite, Louisiana

Provider Information

NPI Number: 1568848067
Entity Type: Individual
Name: Sonja Tullos Smith, LAC 978
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LAC 978
Enumeration Date: Aug 6, 2015
Last Updated: Aug 6, 2015

Practice Location

Address: 804 N 2ND ST
City: Amite
State: Louisiana
ZIP Code: 70422-2117
Phone: (985) 517-1711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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