Individual
CAROL BURNETT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MS, CMHT
Contact information
Practice address
814 W 21ST AVE, COVINGTON, LA 70433-7405
(985) 520-2920
(866) 465-0075
Mailing address
814 W 21ST AVE, COVINGTON, LA 70433-7405
(985) 520-2920
(866) 465-0075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1698
MS
101Y00000X
Counselor
5610
LA
101YP2500X
Professional Counselor
Primary
5610
LA
106H00000X
Marriage & Family Therapist
1922
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3226456
—
LA
Enumeration date
11/01/2010
Last updated
06/29/2023
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