Individual
KENNETH JOSEPH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26055 BURLWOOD AVE., DENHAM SPRINGS, LA 70726
(225) 176-1970
Mailing address
26055 BURLWOOD AVE, DENHAM SPRINGS, LA 70726-6580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053603845
—
LA
Enumeration date
06/14/2017
Last updated
06/14/2017
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