Individual
KAMARA WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 US-80, MONROE, LA 71203
(318) 343-8744
Mailing address
104 MAYHAW ST, MONROE, LA 71203-2800
(318) 512-9210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
01005364
LA
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
07/20/2023
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