person
Donna Louise Martin-wallace, LPCC,LADC,ADCR-MN
Mental Health Counselor in Burnsville, Minnesota
NPI 1083365811

Donna Louise Martin-wallace is a Mental Health Counselor based in Savage, MN and is specialized in Mental Health. Donna Louise Martin-wallace practices in Burnsville, MN and has the professional credentials of LPCC,LADC,ADCR-MN. The NPI Number for Donna Louise Martin-wallace is 1083365811 and holds a License No. CC03103 (Minnesota).

The current practice location address for Donna Louise Martin-wallace is 2970 Judicial Rd Ste 100, Burnsville, MN and can be reached out via phone at 952-224-8990 and via fax at 952-224-8991.

Location: 2970 Judicial Rd Ste 100, Burnsville, MN, 55378-2002
person
Provider Profile Details
NPI Number
1083365811
Provider Name
Donna Louise Martin-wallace
Credential
LPCC,LADC,ADCR-MN
Provider Entity Type
Individual
Gender
Female
Address
2970 Judicial Rd Ste 100, Burnsville, MN, 55378-2002
Phone Number
952-224-8990
Fax Number
952-224-8991
Provider Enumeration Date
01/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2970 Judicial Rd Ste 100
City
State
Zip
55337-7822
Phone Number
952-224-8990
Fax Number
952-224-8991
person
Provider Business Mailing Address Details
Address
2970 Judicial Rd Ste 100
City
State
Zip
55337-7822
Phone Number
952-224-8990
Fax Number
952-224-8991
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC03103 (Minnesota)
Definition
Definition to come...
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