Individual
VERNON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1525 FAIRFIELD AVE, SHREVEPORT, LA 71101-4300
(318) 676-5669
Mailing address
207 NORCROSS ST, BOSSIER CITY, LA 71111-6025
(318) 742-6402
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
267
LA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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