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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DONNA LOUISE MARTIN-WALLACE, LPCC, LADC, ADCR-MN

Active Sole Proprietor

DONNA LOUISE MARTIN-WALLACE, LPCC, LADC, ADCR-MN is a Mental Health Counselor healthcare provider located in BURNSVILLE, Minnesota. NPI 1083365811 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · BURNSVILLE, MN

Registration Details

NPI Number
1083365811
Provider Type
Individual
Gender
Female
NPI Issued
Jan 13, 2022 (4.5585591494316 yrs)
Last Updated
Jan 13, 2022
License
CC03103 (MN)
Sole Proprietor
Yes

Practice Information

Address
2970 JUDICIAL RD STE 100
BURNSVILLE, MN, 553377822
Browse MN providers · Browse ZIP 55337
Phone
9522248990
Fax
9522248991
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in BURNSVILLE, MN

Name Credential NPI
ANN MARIE HENDERSON LICSW 1902995715
DENISE CAROL WYTTENBACH PHD 1174857551
MS. RACHEL LEA ANN FELCH LPCC 1871817080
BRIDGETT LITTEL M.A. 1043521792
LISA L STEVENSON MS LPCC 1366737520
MEGAN UNERTL MA 1962836320
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.