Individual provider · Type 1 NPI
Judy Werger Wallis, MSW
Mental Health Counselor · Lafayette, LA
NPI number
1710147772
Active
Practice location
301 N Mall St
Lafayette, LA 70503-2219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1710147772
Judy Werger Wallis, MSW's National Provider Identifier is 1710147772, issued on Jun 12, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on Jun 12, 2008.