Individual
SUHAN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3001 ARMAND ST STE A, MONROE, LA 71201-3761
(318) 600-3687
(318) 600-3698
Mailing address
3001 ARMAND ST STE A, MONROE, LA 71201-3761
(318) 600-3687
(318) 600-3698
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC10794
LA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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