Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor |
NPI | 1003265927 |
---|---|
Provider Name | Kristi Magee |
First Address | Monroe, LA 71201-3900 |
Second Address | Monroe, LA 71201-3900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2016 |
Last Update Date | 14/12/2020 |