Individual
WINFORD LOUIS AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LAC, CCS
Contact information
Practice address
2506 JOHNSTON ST, LAFAYETTE, LA 70503-3238
(337) 456-6166
(337) 456-4830
Mailing address
3226 GRAND POINT HWY, BREAUX BRIDGE, LA 70517-6221
(337) 456-6166
(337) 456-4830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1204
LA
101YP2500X
Professional Counselor
5018
LA
101YP2500X
Professional Counselor
Primary
86294
TX
Other
Enumeration date
11/23/2011
Last updated
11/08/2023
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