Individual
CATHERINE WILLIAMS-FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
857 WORKS ROAD, RUSTON, LA 71270
(318) 243-5052
Mailing address
857 WORKS RD, RUSTON, LA 71270-1456
(318) 243-5052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005106422
LA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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