Individual provider · Type 1 NPI

Anne Marie Wallace, LPC

Professional Counselor · Covington, LA

NPI number 1508453655 Active

Practice location

1505 N Florida St
Covington, LA 70433-1544

Call (985) 900-1626 Map

Mailing address

21226 Casril Dr
Mandeville, LA 70471-7614

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6914 (LA)

Professional Counselor: Definition to come...

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About NPI 1508453655

Anne Marie Wallace, LPC's National Provider Identifier is 1508453655, issued on Dec 23, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Covington, LA. The record was last updated on Dec 23, 2020.