Individual
SUZETTE A NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
216 MEMPHIS ST, BOGALUSA, LA 70427-3844
(985) 735-0160
(985) 735-0970
Mailing address
216 MEMPHIS ST, BOGALUSA, LA 70427-3844
(985) 735-0160
(985) 735-0970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3978
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
3978
LA
101YM0800X
Mental Health Counselor
3978
LA
101YP2500X
Professional Counselor
Primary
3978
LA
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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