Stella Wiltz, OWNER

NPI #1083829766 in Breaux Bridge, Louisiana

Provider Information

NPI Number: 1083829766
Entity Type: Individual
Name: Stella Wiltz, OWNER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: OWNER
Enumeration Date: May 14, 2007
Last Updated: May 20, 2022

Practice Location

Address: 402 RICHARD STREET
City: Breaux Bridge
State: Louisiana
ZIP Code: 70517-7051
Phone: (337) 278-1810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X

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