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NPI Code Detail

MEDICARE: KATHRYN RENEE NEATHERY LMFT

MEDICARE:   KATHRYN RENEE NEATHERY  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1126LA

General Provider Information

NPI Number : 1912141185
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN RENEE NEATHERY LMFT
Provider Business Mailing Address
First Line : 1416 NATCHITOCHES ST
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-3751
Country : US
Telephone Number : 318-855-8773
Fax Number :
Provider Business Practice Location Address
First Line : 1416 NATCHITOCHES ST
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-3751
Country : US
Telephone Number : 318-855-8773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2009
Last Update Date : 03/03/2025

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Directions to “ KATHRYN RENEE NEATHERY LMFT” Practice Location

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