person
Mr. Nicholas Preston Wallace, LPC,NCC,CCMHC
Professional Counselor in Bossier City, Louisiana
NPI 1356747430

Nicholas Preston Wallace is a Professional Counselor based in Bossier City, LA and is specialized in Professional. Nicholas Preston Wallace practices in Bossier City, LA and has the professional credentials of LPC,NCC,CCMHC. The NPI Number for Nicholas Preston Wallace is 1356747430 and holds a License No. LPC #5493 (Louisiana).

The current practice location address for Nicholas Preston Wallace is 90 Kingston Xing Apt 1506, Bossier City, LA and can be reached out via phone at 318-935-0105.

Location: 90 Kingston Xing Apt 1506, Bossier City, LA, 71111-6289
person
Provider Profile Details
NPI Number
1356747430
Provider Name
Nicholas Preston Wallace
Credential
LPC,NCC,CCMHC
Provider Entity Type
Individual
Gender
Male
Address
90 Kingston Xing Apt 1506, Bossier City, LA, 71111-6289
Phone Number
318-935-0105
Fax Number
Provider Enumeration Date
11/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
90 Kingston Xing Apt 1506
City
State
Zip
71111-6289
Phone Number
318-935-0105
Fax Number
person
Provider Business Mailing Address Details
Address
90 Kingston Xing Apt 1506
City
State
Zip
71111-6289
Phone Number
318-935-0105
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC #5493 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC #5493 (Louisiana)
Definition
Definition to come...
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