Individual
RONINA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1011 NW CENTRAL AVENUE, N, AMITE, LA 70422
(985) 474-5455
Mailing address
1011 NW CENTRAL AVENUE, N, AMITE, LA 70422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5940
LA
101YP2500X
Professional Counselor
Primary
5940
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/08/2015
Last updated
06/06/2019
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