Individual
NICALA JANAE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11408 LAKE SHERWOOD AVE N STE A, BATON ROUGE, LA 70816-0421
(225) 261-7143
(225) 250-1026
Mailing address
11408 LAKE SHERWOOD AVE N STE A, BATON ROUGE, LA 70816-0421
(225) 261-7143
(225) 250-1026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLC7838
LA
101YM0800X
Mental Health Counselor
LPC7838
LA
101YP2500X
Professional Counselor
Primary
LPC7838
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
LA
Enumeration date
07/21/2016
Last updated
07/12/2023
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