Individual
JENNIFER WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 LINE AVE, SUITE 315, SHREVEPORT, LA 71101
(318) 221-2828
Mailing address
1007 GOULD DR STE 1, BOSSIER CITY, LA 71111-4971
(318) 584-7268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2015
Last updated
05/24/2018
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