Individual
KASEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
(318) 345-7123
Mailing address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
(318) 345-7123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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