| Doctor Name: | MRS. CORALYN MILTON-TERRY |
| NPI Number: | 1376811315 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, NCC, LMHP, CIT |
| License Number: | 3646 |
| Business Practice Address: | 8200 Wild Briar Dr Apt. #709 Shreveport, LA - 711085930 |
| Business Phone Number: | 3183647043 |
| Business Fax Number: | |
| Mailing Address: | 8200 Wild Briar Dr, Apt. #709 SHREVEPORT |
| State: | LA |
| Postal Code: | 711085930 |
| Phone Number: | 3183647043 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2011 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |