Individual
ASHLEY WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
610 LOTUS DR N, SUITE B, MANDEVILLE, LA 70471-2985
(985) 626-7499
(985) 626-7409
Mailing address
63 FOREST GREEN DR, MANDEVILLE, LA 70448-6362
(985) 869-9901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3866
LA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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