Individual
WANDA WILLIAMS BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632
(504) 568-3130
Mailing address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632
(504) 568-3130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
5700
LA
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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