Individual
KIMBERLY AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2285 BENTON RD, STE D-103, BOSSIER CITY, LA 71111
(318) 584-7197
(318) 584-7080
Mailing address
2285 BENTON RD STE D103, BOSSIER CITY, LA 71111-3465
(318) 584-7197
(318) 584-7080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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