Individual
GEORGIA NICHOLSON SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
10935 PERKINS RD STE D, BATON ROUGE, LA 70810-3005
(225) 384-0757
Mailing address
18282 MANCHAC PL S, PRAIRIEVILLE, LA 70769-3371
(225) 439-8420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10007
LA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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