Individual
MRS. THERESA JESSICA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2115 FITZENRIETER RD, LAKE CHARLES, LA 70601-1139
(337) 217-4890
Mailing address
5761 ELLIOTT RD, LAKE CHARLES, LA 70605-0400
(337) 540-7465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3408
LA
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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