JUANITA WALLACE
Counselor - Mental Health
Active
Individual
NPI: 1326164278
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | 2002006418 (MO) |
Frequently Asked Questions
NPI 1326164278 is the National Provider Identifier for JUANITA WALLACE, a Counselor - Mental Health provider located in Florissant, MO. This NPI was enumerated on March 22, 2007.
JUANITA WALLACE practices at 570 SHACKELFORD RD, Florissant, MO 63031.
Quick Facts
- NPI
- 1326164278
- Type
- Individual
- Enumerated
- Mar 22, 2007
- Last Updated
- Jul 9, 2007
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