Individual provider · Type 1 NPI

Welton Miguel Wiley, LAC, CCS

Addiction (Substance Use Disorder) Counselor · Ruston, LA

NPI number 1154469559 Active

Practice location

602 E Georgia Ave
Ruston, LA 71270-3931

Fax (318) 251-5000

Mailing address

189 Oscar Rd
West Monroe, LA 71292-1298

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLAC 880 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154469559

Welton Miguel Wiley, LAC, CCS's National Provider Identifier is 1154469559, issued on Feb 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ruston, LA. The record was last updated on Dec 20, 2012.