| Kasey Witherington Counseling Services | |
|
1818 Avenue Of America Monroe LA 71201-4530 | |
| (318) 381-4221 | |
| Not Available |
| Full Name | Kasey Witherington Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1818 Avenue Of America, Monroe, Louisiana |
| Authorized Official Name and Position | Kasey Gentry Witherington (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3183814221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasey Witherington Counseling Services 4133 Adeline Ln Monroe LA 71201-2175 Ph: (318) 381-4221 | Kasey Witherington Counseling Services 1818 Avenue Of America Monroe LA 71201-4530 Ph: (318) 381-4221 |
| NPI Number | 1053789735 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 09/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053789735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3816 (Louisiana) | Primary |
| 251S00000X | Community/behavioral Health | 3816 (Louisiana) | Secondary |
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