Individual
NICHOLAS NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1141 WHITNEY AVE STE 4, GRETNA, LA 70056-5009
(504) 347-1120
Mailing address
5711 EASTOVER DR, NEW ORLEANS, LA 70128-3604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7917
LA
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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