Individual
KATLIN WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 CENTENARY BLVD, 312, SHREVEPORT, LA 71104-3356
(318) 681-9935
Mailing address
2620 CENTENARY BLVD, 312, SHREVEPORT, LA 71104-3356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010204542
LA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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