| Darre'll J Wallace, | |
|
1711 Marshall St, Shreveport, LA 71101-4139 | |
| (318) 226-9944 | |
| (318) 226-9942 |
| Full Name | Darre'll J Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1711 Marshall St, Shreveport, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003321720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Darre'll J Wallace, 1711 Marshall St, Shreveport, LA 71101-4139 Ph: (318) 226-9944 | Darre'll J Wallace, 1711 Marshall St, Shreveport, LA 71101-4139 Ph: (318) 226-9944 |
Michael Schroeder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
David J Aubrey, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2924 Knight St, Shreveport, LA 71105 Phone: 318-754-3560 Fax: 318-779-0439 | |
Brittany Barshee Myles-evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2520 Crestwood Dr, Shreveport, LA 71118 Phone: 318-868-3093 Fax: 318-868-3094 | |
Cordaro Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Wilton Pl, Shreveport, LA 71107 Phone: 318-470-8691 | |
Kenxaivius Giles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 W 70th St Apt 401, Shreveport, LA 71106 Phone: 318-517-8205 | |
Malvanese Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 College St, Shreveport, LA 71104 Phone: 318-658-6099 |