Darre'll J Wallace
Darre'll J Wallace is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1711 Marshall StShreveport, LA 71101-4139
Phone: (318) 226-9944
Fax: (318) 226-9942
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1003321720 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2017 |
| Last updated in NPPES | December 4, 2017 |
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