Tanisha Bullard
Tanisha Bullard is a Counselor in Shreveport, Louisiana. Licensed in Mississippi. Registered with an NPI since 2019.
- Licensed in
- MS
- In the registry since
- 2019
Practice location Address checks out
3341 Youree DrShreveport, LA 71105-2149
Phone: (318) 219-4364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence NA (MS) |
|---|
Record details
| NPI number | 1043871759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 24, 2019 |
| Last updated in NPPES | June 24, 2019 |
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