Individual
DR. MARIA SHANTELL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
8755 SULLIVAN RD, BLDG 3 SUITE A, BATON ROUGE, LA 70818-6030
(225) 615-6059
Mailing address
6001 MAIN ST, #1404, ZACHARY, LA 70791-5001
(225) 615-6059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5250
LA
Other
Enumeration date
12/31/2016
Last updated
12/31/2016
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