Individual
KELLY BUXTON WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LMFT, PLPC
Contact information
Practice address
300 WASHINGTON ST STE 310A, MONROE, LA 71201-6761
(318) 372-1810
Mailing address
300 WASHINGTON ST STE 310, MONROE, LA 71201-6761
(318) 372-1810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
MFT1403
LA
Other
Enumeration date
05/07/2019
Last updated
04/23/2026
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