| Mr Nicholas Preston Wallace, LPC, NCC, CCMHC | |
|
90 Kingston Xing Apt 1506, Bossier City, LA 71111-6289 | |
| (318) 935-0105 | |
| Not Available |
| Full Name | Mr Nicholas Preston Wallace |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 90 Kingston Xing Apt 1506, Bossier City, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356747430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC #5493 (Louisiana) | Secondary |
| 101YP2500X | Counselor - Professional | LPC #5493 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas Preston Wallace, LPC, NCC, CCMHC 90 Kingston Xing Apt 1506, Bossier City, LA 71111-6289 Ph: (318) 210-8499 | Mr Nicholas Preston Wallace, LPC, NCC, CCMHC 90 Kingston Xing Apt 1506, Bossier City, LA 71111-6289 Ph: (318) 935-0105 |
Markitta Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112 Phone: 318-746-1935 | |
Mrs. Heidi Mooney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1504 Barksdale Blvd, Bossier City, LA 71111 Phone: 318-222-4299 | |
Abigail Claire Cruice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2285 Benton Rd Ste D103, Bossier City, LA 71111 Phone: 318-584-7197 Fax: 318-548-7080 | |
Margo Malone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3134 Petite Dr, Bossier City, LA 71111 Phone: 318-272-8177 | |
Linda Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112 Phone: 318-746-1935 Fax: 318-746-2514 | |
Ms. Susan Denise Brewer, B.S., M.S.C.P., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1504 Barksdale Blvd, Bossier City, LA 71111 Phone: 318-222-4299 Fax: 318-425-2696 | |
Trease Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2285 Benton Rd Ste D103, Bossier City, LA 71111 Phone: 318-584-7197 |