SearchLouisiana101YP2500X

Mark Nettles, LPC

NPI 1679248025 · on the registry since 2021 · sole proprietor

Practice

Address
748 Cecile Pl
Shreveport, LA 71106
Phone
(318) 525-6979

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana