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Individual

CHRISTINA WILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED LPC-S

Contact information

Practice address
4008 CALIFORNIA LN, OAK RIDGE, LA 71264-9331
(318) 732-8023
(318) 605-4133
Mailing address
1117 MARION HWY, FARMERVILLE, LA 71241-9313
(318) 503-8682
(318) 982-8103

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LA
101YP2500X
Professional Counselor
Primary
4851
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
12/01/2015
Last updated
12/24/2025
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