Individual
MRS. KASEY GENTRY WITHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,COUNSELING
Contact information
Practice address
4133 ADELINE LN, MONROE, LA 71201-2175
(318) 381-4221
Mailing address
1818 AVENUE OF AMERICA, MONROE, LA 71201-4530
(318) 998-2700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3816
LA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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