Individual
ILANA WAHLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3706 BON AIRE DR, MONROE, LA 71203-3009
(318) 374-8697
Mailing address
495 JOE WHITE RD, MONROE, LA 71203-2976
(318) 366-6281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2464
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
2464
LA
101YP2500X
Professional Counselor
Primary
2464
LA
Other
Enumeration date
04/30/2010
Last updated
09/20/2023
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