Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Donna Louise Martin-Wallace, LPCC, LADC, ADCR-MN

Individual provider Mental Health Counselor · NPI 1083365811

Donna Louise Martin-Wallace, LPCC, LADC, ADCR-MN is a Mental Health Counselor in Burnsville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

2970 Judicial Rd Ste 100
Burnsville, MN 55337-7822
Phone: (952) 224-8990
Fax: (952) 224-8991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC03103 (MN)

Record details

NPI number1083365811
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LADC , ADCR-MN
Sole proprietorYes
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

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