Individual provider · Type 1 NPI
Henry Neal Wallace, CIT
Addiction (Substance Use Disorder) Counselor · Baton Rouge, LA
NPI number
1699235770
Active
Practice location
10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Mailing address
1184 Harco Dr
Baton Rouge, LA 70815-2916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1699235770
Henry Neal Wallace, CIT's National Provider Identifier is 1699235770, issued on Mar 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 23, 2019.