Individual
LATASHA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40048 SUGARBERRY DRIVE, PONCHATOULA, LA 70454
(985) 474-5244
Mailing address
40048 SUGARBERRY DR, PONCHATOULA, LA 70454-5478
(985) 474-5244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/21/2016
Last updated
05/13/2018
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