Individual
MRS. SHELLY KILLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
118 EXCHANGE PL, LAFAYETTE, LA 70503-2510
(337) 789-0442
(337) 345-1576
Mailing address
329 TEAKWOOD DR, YOUNGSVILLE, LA 70592-5223
(337) 789-0442
(337) 345-1576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6643
—
Other
Enumeration date
06/27/2016
Last updated
03/25/2020
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