Individual
NATHAN HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, PLPC
Contact information
Practice address
330 E VAUGHN AVE, RUSTON, LA 71270-5928
(318) 224-7135
Mailing address
330 E VAUGHN AVE, RUSTON, LA 71270-5928
(318) 224-7135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8513
LA
101YP2500X
Professional Counselor
8513
LA
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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