Individual
DR. DANA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC-S, NCC
Contact information
Practice address
201 RUE BEAUREGARD # 202, LAFAYETTE, LA 70508-3251
(504) 318-6813
Mailing address
900 CAMP ST, NEW ORLEANS, LA 70130-3971
(504) 318-6813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7071
LA
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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