Individual
MISTY M WAINWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
110 LAKEVIEW DR, SUITE 100, COVINGTON, LA 70433-7511
(985) 898-1940
(985) 893-3427
Mailing address
PO BOX 1213, MADISONVILLE, LA 70447-1213
(985) 898-1940
(985) 893-3427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2915
LA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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