Individual
MADISON WALLER LOUVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-3931
(228) 351-5833
Mailing address
1800 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-3931
(228) 351-5833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-0959
MS
Other
Enumeration date
07/05/2023
Last updated
11/09/2024
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