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Individual
LOUANN C. WALLIS
Active
Individual
LOUANN C. WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167146
CIGNA BEHAVIORAL HEALTH
TX
01
—
12471
COMMUNITY FIRST HEALTH PL
TX
01
—
232854
COMPSYCH
TX
01
—
239642
MHN
TX
01
—
506801
MHS# VALUE OPTIONS
TX
01
—
5096LC
BLUECROSSBLUESHIELD
TX
Enumeration date
06/28/2006
Last updated
07/09/2007
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