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Organization
KASEY WITHERINGTON COUNSELING SERVICES
Active
Organization
KASEY WITHERINGTON COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASEY GENTRY WITHERINGTON M.ED., COUNSELING (LICENSED PROFESSIONAL COUNSELOR)
(318) 381-4221
Entity
Organization
Contact information
Practice address
1818 AVENUE OF AMERICA, MONROE, LA 71201-4530
(318) 381-4221
Mailing address
4133 ADELINE LN, MONROE, LA 71201-2175
(318) 381-4221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3816
LA
251S00000X
Community/Behavioral Health Agency
3816
LA
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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