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Search › Louisiana › Mental Health Counselor

Deeandriez Wallace

NPI 1669113239 · on the registry since 2022 · sole proprietor

Practice

Address
3003 Knight St
Suite 115
Shreveport, LA 71105
Phone
(318) 614-7314
Organisation at this address
Asum Medical Supply, Inc.
St. Genevive Health Care Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Also registered as
Case Manager/Care Coordinator
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana