NICHOLAS WALLACE, LPC, NCC, CCMHC

LPC, NCC, CCMHC

Professional Counselor

NPI: 1356747430Individual

Specialties, Licenses & Credentials

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

LPC #5493(LA)

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

LPC #5493(LA)

Contact & Hours

Address: 90 KINGSTON XING APT 1506
BOSSIER CITY, LA 71111
Phone: (318) 935-0105

Quick Facts

NPI: 1356747430
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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