Individual provider · Type 1 NPI

Amber Wallace, CIT

Addiction (Substance Use Disorder) Counselor · Denham Springs, LA

NPI number 1730074378 Active

Practice location

9171 Cockerham Rd
Denham Springs, LA 70726-2255

Call (225) 924-1910 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X5772 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1730074378

Amber Wallace, CIT's National Provider Identifier is 1730074378, issued on Jun 12, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Denham Springs, LA. The record was last updated on Jun 12, 2025.