Individual
JESSICA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 COMMON ST, LAKE CHARLES, LA 70601-5255
(337) 437-4014
Mailing address
1333 COMMON ST, LAKE CHARLES, LA 70601-5255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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