Individual
JOHN WANE NELSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1325 WRIGHT AVE STE D, CROWLEY, LA 70526-2226
(337) 514-5181
Mailing address
1325 WRIGHT AVE STE D, CROWLEY, LA 70526-2226
(337) 514-5181
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8602
LA
Other
Enumeration date
12/28/2020
Last updated
05/16/2024
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