person
Darre'll J Wallace
Mental Health Counselor in Shreveport, Louisiana
NPI 1003321720

Darre'll J Wallace is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Darre'll J Wallace practices in Shreveport, LA. The NPI Number for Darre'll J Wallace is 1003321720 and holds a License No. (Louisiana).

The current practice location address for Darre'll J Wallace is 1711 Marshall St, Shreveport, LA and can be reached out via phone at 318-226-9944 and via fax at 318-226-9942.

Location: 1711 Marshall St, Shreveport, LA, 71101-4139
person
Provider Profile Details
NPI Number
1003321720
Provider Name
Darre'll J Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1711 Marshall St, Shreveport, LA, 71101-4139
Phone Number
318-226-9944
Fax Number
318-226-9942
Provider Enumeration Date
12/04/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1711 Marshall St
City
State
Zip
71101-4139
Phone Number
318-226-9944
Fax Number
318-226-9942
person
Provider Business Mailing Address Details
Address
1711 Marshall St
City
State
Zip
71101-4139
Phone Number
318-226-9944
Fax Number
318-226-9942
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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