Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARMAINE WALLACE
Active Sole ProprietorCHARMAINE WALLACE is a Counselor healthcare provider located in AMA, Louisiana. NPI 1932657343 is currently active in the NPPES registry. Verify at CMS.
Counselor · AMA, LA
Registration Details
- NPI Number
- 1932657343
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2016 (9.9131010572162 yrs)
- Last Updated
- Sep 14, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
10467 RIVER ROADAMA, LA, 700310703Browse LA providers · Browse ZIP 70031
- Phone
- 5044313030
- Primary Specialty
-
Counselor
101Y00000X
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.