DONNA LOUISE MARTIN-WALLACE

BURNSVILLE, MN
NPI1083365811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  cc03103)
Enumeration Date2022-01-13
Last Update Date2022-01-13
Business Address
DONNA LOUISE MARTIN-WALLACE LPCC, LADC, ADCR-MN
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337-7822
Phone number: 952-224-8990
Mailing Address
DONNA LOUISE MARTIN-WALLACE LPCC, LADC, ADCR-MN
14024 NATCHEZ AVE
SAVAGE, MN 55378-2002
Phone number: 612-220-3247