Individual
MR. CHASE WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3586
(855) 239-9737
Mailing address
4310 RYAN ST., SUITE 134, LAKE CHARLES, LA 70605-4514
(337) 943-0511
(337) 508-2702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6799
LA
101YP2500X
Professional Counselor
PLPC #6799
LA
Other
Enumeration date
06/23/2016
Last updated
08/10/2021
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