MRS. CECILE WATTERS TEBO


Address: 3528 Vincennes Pl, New Orleans, LA 70125-4352
Phone: 5049085799

MRS. CECILE WATTERS TEBO (NPI# 1013288950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013288950
Entity Type Individual
Full Name MRS. CECILE WATTERS TEBO
Credential LCSW
Practice Address 3528 Vincennes Pl
New Orleans
LA 70125-4352
Practice Telephone 5049085799
Mailing Telephone 5049085799
Enumeration Date 2012-01-24
Last Update Date 2012-01-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2415 LA Behavioral Health & Social Service Providers

Office Location

Street Address 3528 VINCENNES PL
City NEW ORLEANS
State LA
Zip Code 70125-4352

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City NEW ORLEANS
Zip Code 70125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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