Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Teresa Willcox, CIT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679084925

Mrs. Mary Teresa Willcox, CIT is an Addiction (Substance Use Disorder) Counselor in Bossier City, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2017

Practice location Address checks out

1525 Fullilove Dr
Bossier City, LA 71112-3346
Phone: (318) 747-1211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 3259 (LA)

Record details

NPI number1679084925
Entity typeIndividual (Type 1)
GenderFemale
Credentials CIT
Sole proprietorYes
NPI enumeratedOctober 13, 2017
Last updated in NPPESOctober 13, 2017

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