Individual
CHRISTOPHER NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHP
Contact information
Practice address
751 BAYOU PINES EAST DR, SUITE C, LAKE CHARLES, LA 70601
(337) 433-3292
Mailing address
2525 YOUREE DR, SUITE 110, SHREVEPORT, LA 71104-3671
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
07/26/2018
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