person
Mrs. Mary Teresa Willcox, CIT
Addiction (Substance Use Disorder) Counselor in Bossier City, Louisiana
NPI 1679084925

Mary Teresa Willcox is an Addiction (Substance Use Disorder) Counselor based in Shreveport, LA and is specialized in Addiction (Substance Use Disorder). Mary Teresa Willcox practices in Bossier City, LA and has the professional credentials of CIT. The NPI Number for Mary Teresa Willcox is 1679084925 and holds a License No. 3259 (Louisiana).

The current practice location address for Mary Teresa Willcox is 1525 Fullilove Dr, Bossier City, LA and can be reached out via phone at 318-747-1211. You can also correspond with Mary Teresa Willcox through the mailing address at 2000 FAIRFIELD AVE, SHREVEPORT, LA - 71104-2002 (mailing address contact number: 318-222-8511).

Location: 1525 Fullilove Dr, Bossier City, LA, 71104-2002
person
Provider Profile Details
NPI Number
1679084925
Provider Name
Mary Teresa Willcox
Credential
CIT
Provider Entity Type
Individual
Gender
Female
Address
1525 Fullilove Dr, Bossier City, LA, 71104-2002
Phone Number
318-747-1211
Fax Number
Provider Enumeration Date
10/13/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699955815 05 LA
institution
Provider Business Practice Location Address Details
Address
1525 Fullilove Dr
City
State
Zip
71112-3346
Phone Number
318-747-1211
Fax Number
person
Provider Business Mailing Address Details
Address
1525 Fullilove Dr
City
State
Zip
71112-3346
Phone Number
318-747-1211
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3259 (Louisiana)
Definition
Definition to come...
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