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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