JUDITH WALLACE, MAC, LAT
Counselor - Professional
Active
Individual
NPI: 1205373107
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Acupuncturist | 171100000X | No | A-030 (WY) |
| Counselor - Professional | 101YP2500X | Yes | 2478 (WY) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 352 (WY) |
| Counselor - Mental Health | 101YM0800X | No | 1359 (WY) |
Frequently Asked Questions
NPI 1205373107 is the National Provider Identifier for JUDITH WALLACE, MAC, LAT, a Counselor - Professional provider located in Sheridan, WY. This NPI was enumerated on January 30, 2017.
JUDITH WALLACE, MAC, LAT practices at 1221 W 5TH ST, Sheridan, WY 82801.
Quick Facts
- NPI
- 1205373107
- Type
- Individual
- Enumerated
- Jan 30, 2017
- Last Updated
- Jan 30, 2026
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