Most Relevant Information
Provider Data
| NPI Number: | 1003356197 |
| Provider Name: | JANET WILLIS B.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2017 |
| Last Updated: | 03/08/2017 |
Provider Practice Location
5902 BUNCOMBE RD
SHREVEPORT
LA
711294004
Practice Location Phone/Fax
| Phone: | 3186708898 |
| Fax: | 3183003772 |
Provider Mailing Location
PO BOX 29372
SHREVEPORT
LA
711499372
Provider Mailing Phone/Fax
| Phone: | 3186708898 |
| Fax: | 3183003772 |