Individual provider · Type 1 NPI

Donna Louise Martin-Wallace, LPCC, LADC, ADCR-MN

Mental Health Counselor · Burnsville, MN

NPI number 1083365811 Active

Practice location

2970 Judicial Rd Ste 100
Burnsville, MN 55337-7822

Call (952) 224-8990 Map

Fax (952) 224-8991

Mailing address

14024 Natchez Ave
Savage, MN 55378-2002

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC03103 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1083365811

Donna Louise Martin-Wallace, LPCC, LADC, ADCR-MN's National Provider Identifier is 1083365811, issued on Jan 13, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burnsville, MN. The record was last updated on Jan 13, 2022.