Donna Louise Martin-Wallace, LPCC, LADC, ADCR-MN
NPI #1083365811 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1083365811
- Entity Type
- Individual
- Name
- Donna Louise Martin-Wallace, LPCC, LADC, ADCR-MN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPCC, LADC, ADCR-MN
- Enumeration Date
- Jan 13, 2022
- Last Updated
- Jan 13, 2022
Practice Location
- Address
- 2970 JUDICIAL RD STE 100
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-7822
- Phone
- (952) 224-8990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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