Individual
CATHY WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4951 CENTRAL AVE, MONROE, LA 71203-6156
(318) 340-1535
(318) 340-1539
Mailing address
4951 CENTRAL AVE, MONROE, LA 71203-6156
(318) 340-1535
(318) 340-1539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
17253
LA
1041C0700X
Clinical Social Worker
17253
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0317
RCPCS
—
Enumeration date
10/02/2015
Last updated
02/03/2023
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