Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS PRESTON WALLACE, LPC, NCC, CCMHC
Active Sole ProprietorMR. NICHOLAS PRESTON WALLACE, LPC, NCC, CCMHC is a Professional Counselor healthcare provider located in BOSSIER CITY, Louisiana. NPI 1356747430 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1356747430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2014 (11.716604878573 yrs)
- Last Updated
- Jun 6, 2021
- Licenses
-
LPC #5493 (LA)LPC #5493 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 KINGSTON XING APT 1506BOSSIER CITY, LA, 711116289Browse LA providers · Browse ZIP 71111
- Phone
- 3189350105
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in BOSSIER CITY, LA
| Name | Credential | NPI |
|---|---|---|
| STACEY FUSELIER PIERCE | LPC, LMFT, NCC | 1174679559 |
| MRS. JENNIFER DAWN HELMS | M.S., LPC | 1184870974 |
| JENNIFER LYNN HESSER | LPC, LMFT, NCC | 1952557456 |
| MRS. KAREN JOHNSON | LPC | 1194054114 |
| VALERIE LIGHT BARTEET | MA, NCC, LPC | 1700108313 |
| MRS. LISA PLESKACH WHEELER | MA, LPC, NCC | 1992093645 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.