Individual
TAMMY MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 PROGRESSIVE BLVD STE 106, HOUMA, LA 70360-4083
(985) 746-5681
Mailing address
120 PROGRESSIVE BLVD STE 106, HOUMA, LA 70360-4083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155681128
—
LA
Enumeration date
08/25/2018
Last updated
08/25/2018
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