JENNIFER WALLACE, LPCC/S
Counselor - Professional
Active
Individual
NPI: 1174158976
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 104157 () |
| Counselor | 101Y00000X | No | 104157 (KY) |
Frequently Asked Questions
NPI 1174158976 is the National Provider Identifier for JENNIFER WALLACE, LPCC/S, a Counselor - Professional provider located in Georgetown, KY. This NPI was enumerated on March 12, 2020.
JENNIFER WALLACE, LPCC/S practices at 204 BEVINS LN STE A, Georgetown, KY 40324.
Quick Facts
- NPI
- 1174158976
- Type
- Individual
- Enumerated
- Mar 12, 2020
- Last Updated
- Nov 20, 2020
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