MADISON WALLACE, MHP

Counselor - Mental Health

Active Individual
NPI: 1003622937

Practice Address

325 ILLINOIS RT 2
Dixon, IL 61021

Phone: (815) 284-6611

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1003622937 is the National Provider Identifier for MADISON WALLACE, MHP, a Counselor - Mental Health provider located in Dixon, IL. This NPI was enumerated on December 5, 2024.
MADISON WALLACE, MHP practices at 325 ILLINOIS RT 2, Dixon, IL 61021.

Quick Facts

NPI
1003622937
Type
Individual
Enumerated
Dec 5, 2024
Last Updated
Dec 5, 2024

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