Organization
POSITIVE FORCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASEY GENTRY WITHERINGTON M.ED.COUNSELING (LICENSED PROFESSIONAL COUNSELOR)
(318) 330-9728
Entity
Organization
Contact information
Practice address
511 BRES AVE, MONROE, LA 71201-5915
(318) 322-0037
(318) 343-1107
Mailing address
511 BRES AVE, MONROE, LA 71201-5915
(318) 322-0037
(318) 343-1107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2308
LA
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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