Individual provider · Type 1 NPI

Nicole Devona Wahsington

Mental Health Counselor · Shreveport, LA

NPI number 1093239162 Active

Practice location

2811 Metal Street
Shreveport, LA 71119

Call (318) 415-9889 Map

Mailing address

2811 Metal St
Shreveport, LA 71103-2224

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1093239162

Nicole Devona Wahsington's National Provider Identifier is 1093239162, issued on Jul 31, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jul 31, 2017.