person
Mr. Welton Miguel Wiley, LAC,CCS
Addiction (Substance Use Disorder) Counselor in Ruston, Louisiana
NPI 1154469559

Welton Miguel Wiley is an Addiction (Substance Use Disorder) Counselor based in West Monroe, LA and is specialized in Addiction (Substance Use Disorder). Welton Miguel Wiley practices in Ruston, LA and has the professional credentials of LAC,CCS. The NPI Number for Welton Miguel Wiley is 1154469559 and holds a License No. LAC 880 (Louisiana).

The current practice location address for Welton Miguel Wiley is 602 E Georgia Ave, Ruston, LA and can be reached out via phone at 318-251-4125 and via fax at 318-251-5000.

Location: 602 E Georgia Ave, Ruston, LA, 71292-1298
person
Provider Profile Details
NPI Number
1154469559
Provider Name
Welton Miguel Wiley
Credential
LAC,CCS
Provider Entity Type
Individual
Gender
Male
Address
602 E Georgia Ave, Ruston, LA, 71292-1298
Phone Number
318-251-4125
Fax Number
318-251-5000
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
602 E Georgia Ave
City
State
Zip
71270-3931
Phone Number
318-251-4125
Fax Number
318-251-5000
person
Provider Business Mailing Address Details
Address
602 E Georgia Ave
City
State
Zip
71270-3931
Phone Number
318-251-4125
Fax Number
318-251-5000
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAC 880 (Louisiana)
Definition
Definition to come...
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