person
Tarkisha Wallace, LPC-S,NCC
Professional Counselor in Bossier City, Louisiana
NPI 1407233505

Tarkisha Wallace is a Professional Counselor based in Bossier City, LA and is specialized in Professional. Tarkisha Wallace practices in Bossier City, LA and has the professional credentials of LPC-S,NCC. The NPI Number for Tarkisha Wallace is 1407233505 and holds a License No. 4405 (Louisiana).

The current practice location address for Tarkisha Wallace is 1000 Chinaberry Dr Ste 902, Bossier City, LA and can be reached out via phone at 318-742-3408.

Location: 1000 Chinaberry Dr Ste 902, Bossier City, LA, 71111-2455
person
Provider Profile Details
NPI Number
1407233505
Provider Name
Tarkisha Wallace
Credential
LPC-S,NCC
Provider Entity Type
Individual
Gender
Female
Address
1000 Chinaberry Dr Ste 902, Bossier City, LA, 71111-2455
Phone Number
318-742-3408
Fax Number
Provider Enumeration Date
04/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 Chinaberry Dr Ste 902
City
State
Zip
71111-2455
Phone Number
318-742-3408
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Chinaberry Dr Ste 902
City
State
Zip
71111-2455
Phone Number
318-742-3408
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4405 (Louisiana)
Definition
Definition to come...
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