Individual
CHLOIE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5846 HARTFORD AVE, BATON ROUGE, LA 70812
(225) 229-4012
Mailing address
5846 HARTFORD AVE, BATON ROUGE, LA 70812-2233
(225) 229-4012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/26/2016
Last updated
03/20/2023
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