Individual
SMOKEY WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4480 GENERAL DEGAULLE DR, SUITE #219, NEW ORLEANS, LA 70131-6941
(504) 564-1290
(504) 564-1294
Mailing address
1920 BULLARD AVE, METAIRIE, LA 70003-4918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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