Individual
LUKE ALLAN WALLENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
353 E SIX FORKS RD STE 230, RALEIGH, NC 27609-7882
(919) 263-4421
Mailing address
2449 BERTIE DR, RALEIGH, NC 27610-1730
(919) 889-2666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A19008
NC
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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