Donna K Wallace
Mental Health Counselor
1901 S 24th Ave
Edinburg
, Texas 78539-6533
Donna K Wallace
Mental Health Counselor
1901 S 24th Ave
Edinburg
, Texas 78539-6533
(956) 289-7025
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Donna K Wallace
- 5 Boca Chica Blvd Ste 5
- Brownsville, TX
- Zip : 78520-7863
- Fax : (956) 289-7025
- Phone : (956) 289-7000
Second Address
- Donna K Wallace
- 1901 S 24th Ave
- Edinburg, TX
- Zip : 78539-6533
- Fax : (956) 289-7257
- Phone : (956) 289-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 18857 | TX |
National Provider Identifier
| NPI | 1003016320 |
|---|---|
| Provider Name | Donna K Wallace |
| First Address | Brownsville, TX 78520-7863 |
| Second Address | Edinburg, TX 78539-6533 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2007 |
| Last Update Date | 24/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.