Individual provider · Type 1 NPI

Ariante Vanae Wallace

Mental Health Counselor · Shreveport, LA

NPI number 1386121101 Active

Practice location

1717 Marshall St
Shreveport, LA 71101-4139

Call (318) 226-9943 Map

Mailing address

501 Mathies Cir
Barksdale Afb, LA 71110-2323

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386121101

Ariante Vanae Wallace's National Provider Identifier is 1386121101, issued on Jul 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jul 24, 2018.